Fillable Student ID# Name Overpaid Fees Dropped Classes BOG (Merced College)

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Student ID# Name Overpaid Fees Dropped Classes BOG (Merced College)

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Student ID# Name
Dropped Classes
BOG Fee Waiver
Overpaid Fees
Other:
1. Prior to submission, verify:
a) Admission & Records has all required forms to initiate the drop of classes
b) Address on file is correct
AR Type:
Cashier Initial:
Date Refund:
Voucher #:
Voucher #:
Balance:
Student Signature
2. Please allow 6-8 weeks from receipt of form for processing.
Withdrawal from Merced College is the responsibility of the student. In order to receive your refund, your classes must
be dropped online through WebAdvisor or in person in Admissions and Records within the established deadlines for the
semester. Students must clear all outstanding Merced College financial obligations before receiving requested official
transcripts.
Date
Reason for Refund (Select One):
OFFICIAL MERCED COMMUNITY COLLEGE DISTRICT FORM
R
EQUEST FOR REFUND
STUDENT FEES/#2150/REVISED, MARCH 2016
Parking permits must be returned for a refund
OFFICE USE ONLY
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Student ID Name Overpaid Fees Dropped Classes BOG (Merced College)

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Completed 5 September 2020

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