Below are the financial consequences of withdrawing:
Fall and Spring
Withdraw from a course on or before*
Tuition
Owed
The 2
nd
Tuesday of instruction
Classes not on academic record
0%
The completion of 20% of term
Classes not on academic record
50%
AFTER completion of 20% of term
Classes on academic record with “W
100%
Semester & Year
FALL ____________
SPRING __________
_________
Hours BEFORE Change: ____________ Hours AFTER Change: ___________
Fees will be owed for all withdraws as of the 1
st
day of
instruction
This form is to be used when making registration
changes outside of the normal registration period
To withdraw from your last class with UH Hilo use the
Complete Withdraw Form
Registration changes will be made upon completion
and submission of this form to the Office of the Registrar
Cashier & Registrar Office Use ONLY:
PAID: ________________________ SFAREGS: ___________________ VA Updated: 3/18
CREDIT CARD PAYMENT FORM
CARD HOLDERS NAME: ___
__________________________________________________________________________________________________________
VISA DISCOVER
JCB
CREDIT CARD NUMBER:
EXPIRATION DATE:
__________________________________________________________________
MASTERCARD ________________ CVV2 CODE: _______________________________________
(3-Digit code on back of card)
DOLLAR AMOUNT: $_
______________
CARD HOLDER'S PHONE NUMBER: _
________________________________________________
BILLING ADDRESS: __
________________________________________________________________________________________________________________
STREET
__
___________________________________________________________________________ ___________ ________________________
CITY STATE ZIP CODE
CARD HOLDER'S SIGNATURE: _________________________________________________________________________________________________________
(By signing this payment authorization form I acknowledge that this fee is non-refundable and non-transferable.)
OFFICE OF THE REGISTRAR
UNIVERSITY OF HAWAI’I AT HILO
200 WEST KAWILI STREET
HILO, HI 96720-4091
LAST FIRST (M.I) STUDENT ID
___________________________________________ _____________________________@hawaii.edu
PHONE EMAIL ADDRESS
___________________________________________________________ _______________________
STUDENT SIGNATURE DATE
SUMMER
Register Withdraw CRN Course Alpha/Number Instructors Signature Date
College Dean/Director Use:
*Change of Registration forms will be reviewed on a case-by-case basis.
Each dean has the right to deny a late withdrawal within their College.
College Dean / Director Approval:
*Sign for Approval
For Summer Session refund dates refer to https://hilo.hawaii.edu/depts/summer/lookup.php with CRN.
Information provided here for convenience and does not constitute an official declaration of UH Policy. For
official schedules, please refer to: http://hilo.hawaii.edu/uhh/bo/TuitionandFeeRefunds.php and
http://hilo.hawaii.edu/registrar/currentterm.php. *Deadlines effective Fall 2018
NOT exempt:
Change fee exempt:
CH
ANGE OF REGISTRATION FORM
Clear Form