Fillable LATE FEE APPEAL FORM 1801 College Drive North, (Lake Region State College)

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LATE FEE APPEAL FORM 1801 College Drive North, (Lake Region State College)

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The LATE FEE APPEAL FORM 1801 College Drive North, (Lake Region State College) form is 1 page long and contains:

1 signature
8 check-boxes
18 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Lake Region State College

BROWSE LAKE REGION STATE COLLEGE FORMS

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1801 College Drive North, Devils Lake, ND 58301-1598

(701) 662-1600 • fax (701) 662-1570 • 1-800-443-1313 • TDD (701) 662-1572 • www.lrsc.edu

LATE FEE APPEAL FORM

In conjunction with the North Dakota State Board Policy 830.1, late fees shall be assessed to student’s

accounts if their account is 30 days past due. To appeal this late fee, students will need to fill out, sign and

return this form to the Business Office.

Last Name: __________________________ First Name: ____________________________ Student ID: ____________

Phone Number: __________________________ LRSC Email Address: ________________________________________

Term late fee was assessed (please check only one): Fall Spring  Summer Year: __________

Have you had your late fee removed previously? Yes No

Please state the reason for appealing the late fee.

Late Scholarship Check Financial Aid Issues

Other

Signing below certifies the information provided is true.

Signature:

Date:

Each Semester’s due dates are published in the following manner:

• LRSC Website • LRSC Student Handbook • LRSC Student Registration Book

Section 1. Student Information

Section 2. Reason for Request

Please explain:

Section 3. Certification

OFFICE USE ONLY:

 APPROVED ____________________ Date Removed ______________________ Initials ________

Comments: _________________________________________________________________

 DENIED_______________________ Date ______________________________ Initials ________

Comments: _________________________________________________________________

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Fillable LATE FEE APPEAL FORM 1801 College Drive North, (Lake Region State College)

Fill Online, Printable, Fillable, Blank LATE FEE APPEAL FORM 1801 College Drive North, (Lake Region State College) Form

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