SANTA BARBARA CITY COLLEGE
STUDENT REQUEST FOR REFUND
PLEASE PRINT PLAINLY K#
SBCC Student ID
#
LAST NAME FIRST NAME
Email Address Phone number
IMPORTANT: Please update your mailing address in Pipeline. The refund check will only be sent to the most current
mailing address on your Pipeline account. If you want the refund to be directly deposited to your bank account, please
set up ACH payments in Pipeline. Navigate to Pipeline, / "Financial Aid", / "Direct Deposit Sign Up", then follow the
set up instructions.
Please Note:
A
Student Request for Refund form still needs to be submitted to the
Cashier's Office in order for your refund to be processed.
SEMESTER: { } FALL __________ { } SPRING __________ { } SUMMER __________
INSTRUCTIONS:
Fill out this form accurately and completely, save form and email it as an attachment via your Pipeline
email account to cashiers@sbcc.edu. This form does not withdraw a student from class. You must drop your class
via Pipeline before the refund deadline.
NOTE:
Approved refunds will be mailed by the SBCC Finance Office 5 to 6 weeks after the Add/Drop period.
Y
our request will be delayed if SBCC ID# is not included. Please go to your Pipeline Account to lookup Your SBCC ID#.
REASONS FOR REFUND REQUEST:
{ } COSMETOLOGY KIT REFUND - Need Kit Return Verification from Cosmetology Academ
y
{ } I WITHDREW FROM CLASS(ES) { } OTHER _______________ { } CLASS CANCELED/ADMINISTRATION
Save form & email to cashiers@sbcc.edu via your Pipeline email.
SIGNATURE OF STUDENT DATE REQUESTED
FEE TYPE DETAIL CODE
ENROLLMENT FEES TENR $ __________
NON-RESIDENT TUITION TOOS $ __________ ENTRY DATE ________
INTERNATIONAL TUITION TOOC $ __________ INITIALS ________
HEALTH FEES THLT $ __________
TRANSPORTATION FEE TBUS $ __________
STUDENT REP FEES TREP $ __________
PARKING FEES KDAY - KEVE - KBOG $ __________
INTERNATIONAL INSURANCE TISI $ __________
ACTIVITY STICKER SACT $ __________
ART FEES MART $ __________
NURSING SUPPLIES MNUR $ __________
GRAPHIC COURSE FEES MGRD $ __________
PHOTOGRAPHY FEE MPHD $ __________
MARINE TECH MMDT $ __________
COSMETOLOGY KIT REFUND MSCM $ __________
$ __________
TOTAL $ __________
REFUND AUTHORIZATION DATE
Original:Office File - - Copy to Student
FOR OFFICE USE ONLY - DO NOT WRITE BELOW
$10 PROCESS FEE
FOR ENROLLMENT FEE
REFUND
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