Authorizaon Form
2019‐2020
Answering“Yes”belowauthorizesCOCCtouseyourfederalfundstopaychargesinexcessoftuion,feesand
residencecosts.Someexamplesofaddionalchargesareparkingfines,latefees,aviaonflightfees,andlibrary
fines.
Financial Aid Office
541.383.7260•fax:541.383.7506
2600NWCollegeWay,Bend,Oregon97703
www.cocc.edu/financial‐aid•e‐mail:coccfinaid@cocc.edu
IgiveCentralOregonCommunityCollegepermissiontouse
myfederalfundstopaytowardsallchargesonmyaccountduringthe2019‐20awardyear.
(Check one box below)
Yes
Ayesresponseallowsyoutochargeanddeductaddionalallowablechargessuchasotherfees,
aviaonflightfees,latefeesandfines.
No
Anoresponsewillprohibityoufromusingfinancialaidtopayforotherfeesandfines.Tuion,
feesandresidencecostsareautomacallydeducted.
Studentsignature Date COCCIDnumber
Ihave readandunderstandthe condionsassociatedwith theoponIhaveselected.IunderstandIhavethe
righttochangethisauthorizaonbycomplenganewAuthorizaonFormandsubmingittotheFinancialAid
Office.
printstudentname
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome