I authorize Occidental College to apply any federal, state, institutional, or private loan, grant, or
scholarship funds toward the payment of tuition, fees, and other charges billed by Occidental College. I
make this request voluntarily in order to be assured that my tuition, fees, and other charges to
Occidental College will be paid in a timely manner. I also understand that an accounting of these funds is
available to me at any time. I further authorize Occidental College to hold excess funds on my behalf.
Occidental College will maintain these funds in a subsidiary ledger account with sufficient cash in its
bank account to cover these excess funds, and that interest, if any, earned by this account will be retained
by Occidental College.
I further understand that I have the right to rescind or modify this request (in writing to Occidental
College Student Business Services) and to receive the proceeds at any time without penalty.
Signature (no electronic signatures) Date
Occidental College
Financial Aid Office
1600 Campus Road F-35
Los Angeles, CA 90041
Phone: 323-259-2548
Fax: 323-341-4961