Authorization Form
Feather River College Financial Aid Office 570 Golden Eagle Avenue, Quincy CA 95971
Phone (530) 283-0202 ext 603 Fax (530) 283-4659 Email:
Note: this authorization form is valid throughout the life of your Cal Grant award at Feather River College unless you rescind it in writing.
D. Certification and Signature – The person signing this worksheet certifies that all of the information reported on it
is complete and correct. The student whose information was reported on the FAFSA must sign and date. Warning! If
you purposely give false or misleading information you may be fined, sentenced to jail, or bot
This worksheet must be signed and dated to be valid. Electronic and/or digital signatures are not valid.
Student Signature: _____________________________________________________ Date__________________
A. Student Information
Student’s Name: ________________________________________________ FRC ID: ______________________
B. Instructions
Please complete, sign and return the authorization form to the Financial Aid Office. Your Cal Grant B award will not
be disbursed until this form is received and processed. If you have any questions regarding this form, please send an
email to
C. Authorizations
o I authorize Student Accounts to apply my Cal Grant B funds directly to my student account and pay any
outstanding charges.
o I do not authorize Student Accounts to apply my Cal Grant B funds to any outstanding charges. I hereby
understand I am responsible for any outstanding balance on my student account and understand that if my account
is not paid in full, holds will be placed on my records by the Admissions & Records Office and I may be reported
o a collection agency
For Office Use Only
Authorized = 1 Does Not Authorize* = 2
*Note: if student does not authorize make two copies of this form. One copy to the Cal Grant processor and one copy to Student
Processed/Reviewed By: Date:
Clear Form