Financial Accounting Service
800 Main Street, Pewaukee, WI 53072
262.691.5283 (Phone)
262.691.5087 (Fax)
WAUKESHA COUNTY TECHNICAL COLLEGE
Tuition Appeal
Every student is responsible for charges and payments on their account. If a student feels charges on their account
are invalid or in error, or if extenuating circumstances (situations outside of the student’s control) prohibit the student
from attending, the student may submit a tuition appeal to be considered for possible partial or full refund. All appeals
must be received no later than two weeks prior to the course or semester end date to which the request applies.
Please allow up to 45 days to research and process your appeal. You will receive a letter at the address provided
regarding a determination.
INSTRUCTIONS: Please return completed form along with supporting documentation in-person or by mail to WCTC
Billing Specialist, Enrollment Center Room C-019, WCTC, 800 Main Street, Pewaukee, WI 53072; or submit by fax to
262.691.5087; email billing@wctc.edu. Questions? Call 262.691.5283 or email billing@wctc.edu.
STUDENT INFORMATION (please print clearly)
Name Student ID Number
Mailing Address
City State Zip Code
Phone Number Year and Semester
Check the appropriate basis of your appeal and provide the appropriate documentation and detailed explanation.
Serious illness of student or member of student’s immediate family: A signed statement from a physician or
mental health professional on the provider’s letterhead confirming the dates you were unable to attend and that
withdrawal was due to medical issues. Excuse slips, discharge instructions, disability certificates, copies of invoices,
appointment confirmations,etc. are not acceptable documentation.
D
eath of an immediate family member: Submit a death certificate, obituary, or death notice. Documents must
clearly indicate the relationship of the deceased to the student.
Military activation or deployment: A copy of orders or call to duty is required.
Significant change in course delivery: Applies when WCTC has changed the class schedule or methods used to
deliver instruction after the start of the course. Eligible only if student has contacted instructional personnel, navigator
or advisor specific to academic program area. In the space below, outline steps followed.
Other: Provide a detailed explanation of the circumstances and attach documentation to support your request.
List the course(s) for which you are requesting a tuition appeal:
Course Number Course Name Last Date of Attendance
Financial Accounting Service
800 Main Street, Pewaukee, WI 53072
262.691.5283 (Phone)
262.691.5087 (Fax)
WAUKESHA COUNTY TECHNICAL COLLEGE
8771/20
REASON FOR APPEAL (Use space below or attach additional paper.)
Describe the circumstances in detail and attach documentation to substantiate your request.
Signature Date
I certify that the information reported is correct. I understand that failure to supply truthful, adequate and complete
information may result in a denial of this appeal with no further rights to appeal.