ࡱ> ;=:a Xbjbj 4$xEbxEb{ >>>>>8$('''''''$*,'->'>>(>>''9%9&0,<_%v%'*(0Z(%d-d-9&d->9&t''AZ(d-B : ________________________________________________________________________________________________________________________________ Students receiving Title IV federal funds (Federal Direct subsidized or unsubsidized loans or Federal Pell Grant) should consider completing this form. ________________________________________________________________________________________________________________________________ vlog is able to use Federal Student Aid (Title IV funds) to pay only current-year, standard billed charges such as tuition and fees, room and meals, and other current changes for educationally related activities. Additionally, federal regulations require a refund of any student account credit balance created by Title IV funds within 14 days. If a students account includes non-standard chargessuch as fines or extra feesor a prior-year balance (exceeding $200), we must have your permission to use your federal student aid funds to cover these expenses. Without this permission, you may receive a refund of financial aid funds even while a balance due remains on your student account. To authorize vlog to use federal aid to pay any non-standard charges or a prior-year balance, or maintain a credit balance of federal funds for anticipated future charges, please check the appropriate box(es) below. The following authorization is for the current year, as well as future years. You may update or rescind this authorization at any time by contacting our office. We encourage you to keep a copy of this form with your Colgate financial aid records. % I authorize Colgate to pay non-standard charges from my Title IV federal aid. % I authorize Colgate to pay prior-year charges from my Title IV federal aid. % I authorize Colgate to hold any excess credit balance, created as a result of receiving Title IV funds, on my students account. (You still may request a refund of a credit balance at any time). If/when a refund from your student account is desired, the fastest and most secure way to receive it is by electronic fund transfer through TouchNet (the student account system). Please log-in to TouchNet and ensure that your saved payment method (your bank account information) is set-up as a refund account. ________________________________________________________________________________________________________________________________ Student Name (please type or print) Student vlog ID Number (9 digits) ________________________________________________________________________________________________________________________________ Student Signature (in pen) Date     vlog Office of Student Accounts Authorization to Apply Federal Funds to Non-standard or Prior-term Student Account Charges (Student) Please submit this form, and direct any questions, to: vlog, Office of Student Accounts, James B. vlog Hall 13 Oak Drive, Hamilton, NY 13346 Phone: 315-228-4817 Fax: 315-228-7989 E-mail:  HYPERLINK "mailto:stuaccounts@colgate.edu" stuaccounts@colgate.edu Last Updated 8/30/2019    = A R S T U - 0  PRTVXDKOɷɮգգݘݘݐhthtCJaJh[RCJaJhi/Ohi/OCJ(aJ(hfhfCJaJh5CJaJhGaU5CJaJhf5CJaJhfhf5CJaJhi/OCJaJhfCJaJh"CJaJhGaUCJaJhthGaUCJaJ3 S T RTM$a$gdh$a$gdgdt 0^`0gdi/O`gdi/Ogdf$a$gdGaU$a$gdGaUiLM8ENtyz{|Ǽ{ph]]VKCjhvUhthGaUCJaJ hthGaUhthGaUCJaJhCJaJhthCJaJhthqCJaJhth CJaJh$CJaJhBjCJaJh$hGaUCJaJhGaUCJaJhhCJaJhthhCJaJhthBjCJaJhth@CJaJh6vCJaJhth6vCJaJhx)pCJaJhtCJaJz{}~ W$a$gdtgd{b$a$gdGaU$a$gd|~ g679OPQRSTUWԶxqmh&t hah{bhahtCJaJh"CJaJhaht0JjhahtUh hTP hahth1^hthPht5CJ aJ hg)5CJ aJ hGaU5CJ aJ hf5CJ aJ htCJ aJ h"8htCJ aJ h"jhvUhv*89PQRSTUVWX$a$gdgdt$a$gdt$a$gdt WXhthGaUCJaJ21h:pt/ =!8"#h$% s02 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List HH o Balloon TextCJOJQJ^JaJ6U`6 C} Hyperlink >*B*phc4@4 {bHeader  H$6/!6 {b Header CharCJaJ4 @24 {b0Footer  H$6/A6 {b0 Footer CharCJaJFV QF FollowedHyperlink >*B*phOrPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< X $ |WX X vX8@0(  B S  ?$&$U]{ } ~ V Y  $ KQ{ } ~ V Y 33330(M   G J z { P R V Y 0(M   G J Y "Ujs@jJsH}tBhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHs@js"U}t                                    WV8$Jd: V&s!|%g)A+(r-(|-4l</ ="B%Di/O;OTP[RGaU,V_0]{b(Hc"lx)p&t5*t?zK@ SVtqt6=D-^\'1^1j^a*@Gt;C}G Bjn6vR$MPThR/LiTf7|9'B*SorLJ "8v&+}`P{ } @!!!!(X @ @UnknownG.[x Times New Roman5Symbol3. .Cx Arial5..[`)Tahoma?= .Cx Courier New;WingdingsA$BCambria Math"qh|fxtzb !8h24v v 3QHP ?Bj2!xxsK  Student Billing Information FormColgate UniversityJason Shumaker    Oh+'0 , L X d p|$Student Billing Information FormvlogNormalJason Shumaker11Microsoft Office Word@@(vl@6 @<_ ՜.+,D՜.+,\ hp  vlogv  !Student Billing Information Form Title 8@ _PID_HLINKSAxKnmailto:stuaccounts@colgate.edu  !"#$%&'()+,-./013456789<Root Entry F0<_>1Table-WordDocument4$SummaryInformation(*DocumentSummaryInformation82CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q