Student Accounts SA02
Sponsor Authorization to Invoice Form
Purpose: For students with approved sponsors to authorize the university to submit financial information directly
to the sponsor.
Complete and return to: University of Windsor, Cashiers Office, 401 Sunset Ave, Windsor, ON, N9B 3P4
Email: sponsor@uwindsor.ca
(Via only one method)
* Required Fields
Student Name*: ___________________________ Student Number*: __________________
Sponsor Number*: __________________________
If you do not have a sponsor number go to www.uwindsor.ca/sponsor and complete the Sponsor Approval Request Form.
Sponsor Name*: ________________________________________________________________
Sponsor Address: _______________________________________________________________
Reference Number: ______________________
Contact/Counsellor Name: ______________________ Contact/Counsellor Phone #: __________________
Last Term Sponsored*: __________________
Amount Sponsored*:
(check all that apply)
__ All Fees
__ Tuition and Incidentals Only
__ Tuition and Incidental and Drug and Dental Plan
__ Maximum Amount $____________
Select one: per term per year duration of sponsorship
_ Residence/Meal Plan
select one:
In full
Max Amount $_________
Other fees Covered:
Transcipts Library Fines Parking Fines Graduation Application Parking Fines Fax/Scan/Postage
Missed Medical Appointments (Note: Contact the Bookstore directly if books are being covered.)
Note: Payment is due upon receipt of Invoice. Any fees that are not to be covered by you will be the responsibility of the
student. If you do not pay the invoice the student will be required to pay the balance and/or will not be allowed to register in
future terms or receive transcripts until the balance is paid in full. The University of Windsor reserves the right to cancel your
sponsorship at our discretion. Please submit completed form to sponsor@uwindsor.ca
Office Use Only: Date Received ___________________ SIS Updated _______________________
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome