SB
SANTA
BARBARA
CITY
COLLEGE
cc
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Financial Aid Office: www.sbcc.edu/financialaid/
2021-2022
F
EDERAL TITLE IV NON-AUTHORIZATION FORM
A. STUDENT INFORMATION
_____________________________________________________
________________________________________________
Last Name (Print) First Name
M.I
Student ID (K0 Number)
_____________________________________________________
________________________________________________
Pipeline Email
Phone Number
B. PRIOR TERM CHARGES AUTHORIZATION
Federal Title IV financial aid funds can be restricted by the student to only pay for current academic year tuition and
fees. To prevent federal financial aid funds covering a maximum of $200 of your previous balance please check the
box below and provide your signature. By signing this Non-Authorization form, you will be responsible for all
SBCC charges (which could prevent you from registering for classes in the future).
C.CURRENT TERM CHARGES AUTHORIZATION
Federal Title IV financial aid funds can be used to pay for other SBCC charges (e. g. parking fines, library fines,
etc.). If you do not want your financial aid to cover these non-institutional charges please check the box below and
provide your signature. By signing this Non-Authorization form, you will be responsible for all SBCC charges
(which could prevent you from registering for classes in the future).
721 Cliff Drive • Santa Barbara, California 93109-2394 • Phone (805) 965-0581 • Fax (805) 564-1893
click to sign
signature
click to edit
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