Revised 01/30/13 JLS
UNIVERSITY OF CALIFORNIA, SANTA CRUZ 1156 HIGH STREET, SANTA CRUZ, CA 95064 OFFICE OF THE REGISTRAR
PETITION FOR REMOVAL OF INCOMPLETE
A separate petition must be filed for each course, including labs requiring a grade
These steps must be followed in order:
Step 1) Complete and sign the top portion of the form. By signing the petition, you agree to have the
$10 non-refundable filing fee assessed to your UCSC account. The fee will be posted once the final grade is
entered online the instructor.
S
tep 2)
Submit this petition to your Instructor.
Coursework must be completed and submitted to your instructor within one quarter of your enrollment in the
class. Graduate students must complete and submit coursework by the end of the third quarter in which the
incomplete was received. (Both: Excludes Summer Session) Your Instructor may set an earlier deadline for
submission of work.
The Instructor will submit a new grade on his or her grade roster on MyUCSC.
A $10 non-refundable filing fee will be assessed to your UCSC account.
UNI
VERSITY OF CALIFORNIA, SANTA CRUZ 1156 HIGH STREET, SANTA CRUZ, CA 95064 OFFICE OF THE REGISTRAR
PETITION FOR REMOVAL OF INCOMPLETE
Please print or type
Student Name ______________________________________ Student I.D. Number ____________________________
Phone ____________________________________________ Email Address _________________________________
Course ID ________________ Class Number ____________ Quarter & Year Taken ___________________________
Abbreviated Course Title ______________________________ Credits _______________________________________
Instructor __________________________________________ Letter grade requested at time of enrollment? Yes / No
S
ignature __________________________________________ Date ________________________________________
TO THE INSTRUCTOR: You should receive this petition and coursework to remove the incomplete within one/three quarters of
the student’s enrollment in the class. Credit cannot be granted for work completed after the deadline. Enter the new grade on
your grade roster with the completion date. If you were unable to change the “I” grade on your faculty portal, submit this
completed petition to your department. The department will forward the final approval to the Office of the Registrar.
*To remove an incomplete after the deadline for a graduate student with extenuating circumstances, submit this completed
petition with a request to the chair. The chair will forward final approval to the Office of the Registrar.
E
nter the following information in your grade roster on MyUCSC. Retain this form for your records.
Coursework c
ompleted on (date) ________/________/________ Change assigned grade of ____ to a grade of ________
I
nstructor Signature ____________________________________________________ Date ____________________________
Course-Sponsoring Agency (*or Chair) ____________________________________ Date ____________________________
Records Adviser _______ Date ________
