Fillable Late Fee Appeal Form Section 1 Student Information (North Dakota State College of Science)

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Late Fee Appeal Form Section 1 Student Information (North Dakota State College of Science)

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Late Fee Appeal Form
In conjunction with the North Dakota State Board Policy 830.1, late fees may be assessed to a student’s
NDSCS account if they have not paid their account balance by the published* due dates.
To appeal this late fee, students will need to return this completed form to Business Affairs by one of the
following methods; in person: Haverty Hall 139 • mail: NDSCS Business Affairs, 800 6
th
St N, Wahpeton
ND, 58076 • fax: 701-671-2145 • email: NDSCS.BusinessAffairsOffice@ndscs.edu
Section 1 Student Information
First Name _________________________________ Last Name ________________________________
Student ID _____________________ Cell Phone Number _____________________________________
NDSCS Email Address _________________________________________________________________
Which semester was the late fee(s) assessed? (check one)
Have you previously had late fees removed?
Section 2
Reason for Request
Please state the reason for your appeal
Section 3
Certification
Signing below certifies the information provided is accurate
Signature
Date
Office Use Only
Approved
Denied
Date
By
Comments
*Semester due dates are published and/or shared in the following manner:
-NDSCS Website at www.NDSCS.edu/Payment
-During Registration & Orientation
-NDSCS Email Notifications
-NDSCS Catalog
Spring
Summer Year
No Which Semester?
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Late Fee Appeal Form Section 1 Student Information (North Dakota State College of Science)

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Completed 2 October 2020

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