Request for Refund Appeal

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Request for Refund Appeal

Important Information:

All information submitted is kept private. If fraudulent or false information/documentation is presented within your appeal, it will be reviewed by the appropriate college officials.
Submitting an appeal with documentation does not guarantee a refund, reduced tuition and fees, or removal of assessed collection fees.
Financial aid awarded for the requested term will be subject to the published policies.
Submitting an appeal does not exempt the student from any financial hold or collection costs.

FVTC will consider appeal in extenuating circumstances (situations outside of the student’s control). All appeals will be reviewed by the Refund Appeal Committee on a weekly basis. However, response time may vary depending on the volume of appeals at the time of your request. Once a decision is made, it will be communicated to the student and documented on the student's record. Please do not disregard any bills due date while awaiting your appeal decision.

Please check the box to acknowledge you understand the following:

All refund appeals must be initiated no later than twenty-one (21) calendar days after the class end date. All requests made after the twenty-one (21) calendar days after the class end date will be reviewed at the discretion of the FVTC Registrar and/or the Student Finance Manager.

A student may be responsible for paying back financial aid disbursed regardless of the outcome of the refund appeal process.

A written personal statement and/or documentation are required to be considered for a refund appeal. In most cases, documentation of the extenuating circumstance will be required. In cases where sufficient documentation is not provided at the time of application, the student will be contacted by a representative of the refund appeal committee via email and asked to provide this documentation. If no documentation is received within 30 calendar days of this request, the appeal will be considered denied and closed.

Classes graded with a letter grade (A-F) are not eligible for an appeal. Students must complete the Academic Appeal process for these classes (www.fvtc.edu/myfvtc/student-policies-forms > POLICIES & PROCEDURES > Academic Appeals).

Student Name*

First Name

Last Name

Student Phone Number*

Student Email Address*

Student ID Number*

Ex: 123456789

DOB*

STEP 1: Class(es) You Are Appealing

Current Program*

How many classes are you appealing?*

(Max of 4)

Class Name*

Class Number

Class Term

Last Date of Attendance*

Class Name*

Class Number

Class Term

Last Date of Attendance*

Class Name*

Class Number

Class Term

Last Date of Attendance*

Class Name*

Class Number

Class Term

Last Date of Attendance*

Did you receive financial aid for the identified term?*

Yes No

Are you requesting a refund for all of your classes?*

Yes No

If no, please explain:*

STEP 2: Reason For Appeal

Please select the reason for your appeal*

Military Orders Medical Student's Children Assault/Domestic Violence Death in Immediate Family Error by FVTC

Other:

You will be asked to provide supporting documentation.

Please upload supporting military documentation

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