Fillable TITLE IV Authorization to Release Non-Institutional Charges and (Roger Williams University)

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TITLE IV Authorization to Release Non-Institutional Charges and (Roger Williams University)

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Revised
8-11-2020
TITLE IV
Authorization to Release Non-Institutional
Charges and Prior Year Charges Form
Name:
RWU
ID#
Please
Print:
Last
First
Middle Initial
The D
epartment of Education requires all institutions to follow certain guidelines if a student’s Title IV funds
create a credit on the student’s Bursar account. Title IV funds include Federal Parents PLUS Loans, Federal
Stafford Loans, Federal Pell Grant, Federal Perkins Loan, Federal Supplemental Education Opportunity Grant,
Federal SMART Grant, Federal Academic Competitiveness Grant and Federal Teach Grant. When a school
applies Title IV funds to a student’s account and determines that the amount of funds exceeds the charges for
that term, the school must pay the credit balance directly to the student (parent if PLUS Loan) if Title IV funds
create the credit.
Authorization to Apply Federal Financial Aid to Non-Institutional Charges
Federal s
tudent financial aid can only cover “institutional charges” as defined by the U.S. Department of
Education. This definition includes current year charges for tuition and fees, and on-campus room and board.
Unless authorization is received, federal financial aid cannot be used to cover non-institutional charges such as:
health fees, bookstore charges, library fines, parking fines, damage fees, returned check fees, mail box fees, lost
keys fees, judicial fines or any other charges not directly tied to taking a class.
The only way federal student aid funds can be used to pay for “non-institutional
charges” is to obtain your written authorization to pay those charges. This form will
allow us to apply your federal financial aid to your non-institutional charges.
Authorization to Apply Federal Financial Aid to Prior Year Charges
Federal s
tudent financial aid can only cover the “current” academic year institutional charges as defined by
the U.S. Department of Education. Therefore, in order to pay “prior year” charges with your current academic
year’s financial aid up to a maximum of $200.00, you must provide written authorization for the University to
do so. If you have enough financial aid to cover your current year charges and have excess financial aid that
you would like to apply to pay off a prior year balance due on your student account, you may do so by
completing this authorization form and returning it to the Bursar’s Office.
I understand that this authorization will remain in effect throughout my Roger Williams University School
of Law student career until such time as I submit a written request to cancel this authorization (see
address below).
Student
Signature:
Date:
Deliver by e-mail to: studentfinancerecords@law.rwu.edu
Deliver by fax to: (401) 254-4690
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TITLE IV Authorization to Release Non-Institutional Charges and (Roger Williams University)

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Completed 29 July 2021

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