Fillable Tuition Reimbursement Form (Idaho State University)

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Tuition Reimbursement Form (Idaho State University)

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Tuition and Fee Refund Appeal
Tuition and Fees Refund Appeal Policy Information
Policy Statement:
ISU will review a request for tuition and fee refund provided the student meets the requirements of the University's
policy on Tuition and Fees Appeals and submits supporting documentation on official letterhead. Appeals that do not
represent a sound basis for reimbursement will be denied. Appeals must be submitted no later than 6 months after
the withdrawal date.
Submitting an Appeal:
• Students must officially withdraw from courses before their appeal will be considered.
• Appeal documents are accepted at the Office of Finance and Administration, Administration Building,
2nd floor or can be mailed to ISU, Finance and Administration, Mail Stop 8219, Pocatello, Idaho 83209.
• For other questions on the Tuition and Fees Refund Appeal process, please contact Finance and
Administration at 208.282.2404
Appeal Process:
All appeals are referred to the Tuition and Fees Refund Appeal Committee. This committee is comprised of representatives
from the Office of Finance, Student Affairs, College of Technology, and Academic Affairs. Appeals are reviewed on a monthly
basis. Depending upon the complexity of the appeal and receipt of all supporting documentation, the processing time may vary
from six to eight weeks.
• Appeals are approved when a majority of the committee decides in favor of the request.
• Committee decisions are final.
Please be advised that filing a tuition appeal does not exempt your account from the assessment of collection and/or
financial penalties when applicable. Please pay tuition and fees when due. Late fees and collection fees are not appealable
charges.
Instructions/Checklist
Review the acceptable and unacceptable list of reasons to request a refund.
Consider why an exception to the published policy is justified for your situation. Idaho State University has
published policies on fees, charges, and refunds. This information is available from the Finance and
Administration website at
www.isu.edu/finserv. Requests that simply disagree with the policy are not
considered.
Gather supporting documentation to submit with your appeal. For example, a statement from an advisor
is needed when an advising error is the basis of the request; a statement from a medical professional on
letterhead and including applicable dates is required when based on a medical condition.
Submit the completed form and documentation to the Tuition and Fees Refund Appeals Committee,
Office of Finance and Administration, 2nd floor, Administration Building or mail to ISU,
Finance and Administration, Mail Stop 8219, Pocatello, Idaho 83209.
Unofficial Transcript.
If the appeal committee needs additional information from you, a request will be made to the EMAIL address
you have provided below.
The decision of the committee is final. The review process may take 6 to 8 weeks due to the research conducted
on each request submitted. A written decision will be sent to the MAILING address listed on this form.
Be sure to attach all documentation such as letters from doctors, hospital statements, copy of incorrect or
misleading University publication, etc. you feel may support your assertions.
Rev May 2012
1
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Tuition/Fee Refund Appeal Form
Idaho State University
STUDENT INFORMATION (All information is required):
Name:_________________________________________
Email Address: __________________________________
Mailing Address: _________________________________
_______________________________________________
City : _________________________
__________________
Student ID: ________________________________
Phone: ____________________________
Cell Phone: ________________________
State: _____________________________
Zip code: __________________________
Identify the term and year for which you are appealing.
Term/Year: Fall __________ Spring ____________ Summer ____________
What was your last date of attendance?
____________________________________________________________
Have you appealed for a tuition/fee refund in the past?
No
Yes For which term(s) and year(s)____________________________________________________
Refund Request: Please attach a letter detailing your situation with dates and events. Please explain
to the committee the outcome you are seeking.
Signature__________________________________Date______________________
Be sure to attach all documentation such as letters from doctors, hospital statements, copy of incorrect
or misleading University publication, etc. you feel may support your assertions. Also attach a current
unofficial transcript.
Submit all materials to: Tuition and Fee Refund Appeals Committee, Office of Finance and Administration,
2nd floor, Administration Building or
mail to ISU, Finance and Administration, Mail Stop 8219, Pocatello, Idaho
83209.
Responses and statements within this document must adhere to Idaho State University Student Code of
Conduct. Specifically, see Section C, Acts of Dishonesty. All information included in the appeal is
considered confidential and will not be used for any other purpose.
Allow 6 to 8 weeks for a response. A response will be sent to the mailing address on this form.
Rev May 2012
2
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Committee Action: Date _____________________
Approved ______________ Denied ______________
Refund Approved (% of Tuition /Fees) _____________________
Reason:______________________________________________________________________________
Tuition/Fee Refund Appeals will be considered
for the following reasons when the
appropriate supporting documentation is
provided:
Medical Withdrawal based on physical illness of
the student (including hospitalization)--
documented by a physician's statement or other
medical support on official letterhead, and
including date of onset.
Physical or mental illness of the student's
immediate family member (including
hospitalization) who is dependent upon the
student for support--documented by physician's
statement or other medical support on official
letterhead, including date of onset.
Death of a student's immediate family member.
“Immediate family” is defined as parents, spouse,
children, brother or sister, (either blood or by
marriage) with a certified copy of death certificate.
Mandatory and unforeseen job transfers outside
of ISU locales -documented by employer on
official letterhead.
Involuntary changes in employment schedule
documented by employer on official letterhead.
Loss of employment does not apply.
Late notification of denial to a specific degree
program--with supporting documents on official
letterhead.
Institutional errors/delay in processes.
Tuition/Fee Refund Appeals will not be
approved in the following instances:
Personal errors in judgment or irresponsibility
involving transportation, availability of finances,
academic ability, time management.
Misinterpretation of University policies and/or
procedures.
Lack of knowledge of University policies and/or
procedures.
Dissatisfaction with instructor, course content, or
delivery of instruction.
Dissatisfaction with academic progress in course.
Appeals of non-refundable fees.
Non-attendance or minimal attendance of class.
Inadequate investigation of course requirements
prior to registration and attendance.
Non-qualification, late application, or loss of
eligibility for financial aid or scholarships.
Requests to defer tuition payment to next semester
charges.
Non-receipt of mail due to obsolete address on file
with the Office of the University Registrar.
Failures to activate or maintain your official ISU e-
mail account or BengalWeb channels.
Student errors resulting in the delay of
administrative processes relative to registration or
the delivery of financial aid funds.
Voluntary acceptance of employment or other
activity impacting ability to attend classes.
Loss of employment
Rev May 2012
3
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Completed 25 July 2020

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