Request for Special Circumstances Refund
- Complete the form and use the button below to display a printer friendly version.
- Print the "Printer Friendly Version" of the form.
- Return the form with signatures to Student Financial Services at BH-155.
- Google Chrome or Mozilla Firefox recommended when completing the form.
Fields with * are required.
Troubleshooting Problems Displaying a Printer Friendly Version
There are several reasons why the printer friendly version may not display
Try to display a printer friendly version again.Revision Date: 06/2016
- Acrobat Reader is required. If you do not have Acrobat Reader, click on Get Acrobat Reader to download this program for free.
- Acrobat Reader is configured so that it does not display PDF files in the browser. To resolve this, open Adobe Reader. Select Edit->Preferences. Click on the Internet Category on the left side of the window. Place a check in the box next to "Display PDF in browser". Close Acrobat Reader.
- Your Acrobat Reader installation needs to be repaired. To resolve this, click on Help->Repair Adobe Reader Installation. Close Acrobat Reader.
- If you have any problems completing this form, please contact firstname.lastname@example.org.