Student Fiscal Services Forms

Here is a list of forms that can be downloaded. All of the forms are in PDF format and can be read with Adobe Acrobat. If you do not have Adobe Acrobat Reader installed, you may download and install it free of charge by clicking on the icon below. Please follow the instructions for software installation on the Adobe website.

Forms for Student Use

Request for Mail-Out of Aid Check

	Form	Purpose
	Request for Mail-Out of Aid Check	To request that an aid check be mailed to you. (Aid checks are no longer issued in-person.)

Information Release

	Form	Purpose
	Consent for Release of Information	To give permission, for those specified on the form, to access the student's account for information regarding tuition and loans. Access from Tuition Charge Statement on MyUW.

Personal Data Sheet

	Form	Purpose
	Personal Data Sheet	To provide student information for certain loan categories and for the loan exit interview process

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Petitions

	Form	Purpose
	Tuition Forfeiture Petition	To request that tuition forfeiture fees are waived. See the specific tuition forfeiture guidelines. (This form is used on the Seattle campus only. If you are a student at Bothell or Tacoma, please contact the Student Affairs Office on your campus for the proper forfeiture petition procedure.)
	Tuition Forfeiture Fee Waiver Health Care Provider Verification Form	In order to consider a petition for a waiver of tuition forfeiture fees due to disability, the University of Washington, Seattle requires documentation from a licensed Health Care Provider verifiying a current condition that prevents the student from attending the University during this quarter.
	U-Pass Charge Petition	If you have lost or failed to receive your U-Pass

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Loan Deferment

	Form	Purpose
	General Deferment	To request a student deferment
	Financial Statement	To provide financial information for processing of deferment or forbearance.
	Hardship Deferment/Forbearance Request Form	To request a Hardship Deferment or Forbearance
	Affadavit of Disability	To obtain documentation from treating physician
	Health Profession Loans (Federal & Institutional)	To defer your school of medicine loan or HPSL loan while pursuing Advanced Professional Training (residency/internship).

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Forms for Departmental Use

Scholarship

	Form	Purpose
	Add New Budget Number	To set up a new 82-xxxx budget. The form must be completed and submitted to the Financial Accounting Office.
	Change/Delete an Existing Budget Number	To change or delete an 82-xxxx budget. The form must be completed and submitted to the Financial Accounting Office.

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Authorization for Departmental Scholarships

	Form	Purpose
	Form 1 - Fund Restrictions	To set up budget allowances and restrictions in the Student Database (SDB)
	Form 2 - Preset Fund Restrictions	To authorize funds to specific students using preset restrictions (from Form 1)
	Form 3 - Override Preset Restrictions	To override preset restrictions (from Form 1) for specific students

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Departmental Loan Authorization

	Form	Purpose
	Departmental Loan Application	To authorize a student loan from a departmental loan fund. See instructions for more detail.

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Departmental Credit Card Processing

	Form	Purpose
	Request to Accept Credit Cards	To request a separate merchant number for departments that have a high volume of credit card transactions

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