Appeal/Request for Review of Fee, Charge, or Refund

1. Student or other Appellant should complete this form and mail to The University of Memphis, Office of the Bursar, Memphis, TN 38152-6623 or deliver to Office of the Bursar, 115 Wilder Tower.

2. Except for traffic citations and residence life charges, University fees, charges, or refunds may be appealed on this form. Appeal forms for traffic citations are available in the Parking Office, 120 Zach Curlin or in Room 411 of the University Center, and appeals for residence life charges should be filed with the Residence Life Office, 011 Richardson Towers.

3. The University has published policies on most fees, charges, and refunds. This information is available from the bursar's office website at bf.memphis.edu/finance/bursar. Your explanation should attempt to show why an exception to the published policy is justified. Requests that simply disagree with the policy are usually not granted.

The University refund policy is based entirely upon the official date of the withdrawal or change of course which would result in a refund. Refunds beyond the specified dates or percentages indicated in the "Schedule of Classes" will not be made for reasons such as employment conflict, health or medical problems, moving out of town, or other reasons which are beyond the University's control or responsibility.

4. If you are requesting an exception to the policy stated above, PLEASE SUBMIT SUPPORTING DOCUMENTATION WITH THIS FORM. 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. If additional information is needed, a request will be made to the EMAIL address listed below.

5. The Bursar's Office will determine if proper University policies have been followed and may make an adjustment based on their review; a written decision will be sent to the EMAIL address listed on this form*. Please note: This process usually takes 6 - 8 weeks for processing due to the research conducted on each request submitted.

6. If you are not satisfied with the determination at this level, you may appeal the decision, in writing, within ten (10) days of the date of this letter, to the Assistant Vice President for Finance, 276 Administration Building, Memphis, TN 38152. The Office of the Assistant Vice President for Finance will further review the circumstances and provide a written decision to those matters appealed to that office. The decision of the Assistant Vice President for Finance may be appealed to the University Fee/Refund Appeals Committee which meets 3-4 times per year. The recommendation of the committee will be forwarded to the Vice President for Business and Finance for a final decision, which will conclude the University's appeal process.

Name:

E-mail*:

Address: Apt:

City:

Banner UID:

Daytime Phone: ( ) - -

Evening Phone: ( ) - -

State: Zip:

FEE, CHARGE, OR REFUND BEING APPEALED:

Registration Fees - Advising Error

Registration Fees - Death in Family

Registration Fees - Employer Conflict

Registration Fees - Medical

Registration Fees - Military

Registration Fees - Personal Situation

Registration Fees - Other

Financial Aid Charge Back

Installment Payment Plan

Installment Payment Plan Late Fees

Late Payment Fee

Late Registration Fee

Out of State Tuition

Term: Fall Spring Summer Pre 1st 2nd Full

Briefly describe the University's policy or position:

Explain why you think your request should be granted (please include any supporting documentation along with your request):