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The J. Sargeant Reynolds Community College (JSRCC) Tuition Refund/Late Drop Request Routing Slip, known as the JSRCC Form 11-0009, serves an important function for students seeking financial relief due to specific circumstances impacting their ability to continue with their classes. Students are allowed to request a refund for credit hours dropped during the official drop period, while requests made after this period are subject to strict conditions. Situations that may qualify for tuition refund include major medical emergencies, documented administrative errors, or instances of extreme financial hardship that occur within the first four weeks of the semester. Each request must be accompanied by appropriate documentation, such as a physician's note in cases of health-related issues or copies of death notices in the unfortunate event of a death within the immediate family. The form also requires students to provide basic personal information, including Social Security Number, Employment ID, and details regarding the term for which they are applying. For those who have received financial aid, there are additional considerations regarding potential repayment obligations. As requests progress through various approvals—from the Financial Aid Officer to the Success Center Coordinator and the Associate Vice President of Academic Affairs—each section of the form is crucial for verifying eligibility and completing the necessary administrative processes. Overall, the JSRCC 11-0009 form outlines a structured approach for handling tuition refunds and late class drops, ensuring that students have a pathway to appeal their financial circumstances while adhering to college policies.

Jsrcc 11 0009 Example

J. SARGEANT REYNOLDS COMMUNITY COLLEGE

Tuition Refund/Late Drop Request Routing Slip

Policy Section: (College Policy 1-2)

Students are eligible for a refund of those credit hours dropped during the published drop period. After the published drop period has passed, there shall be no refunds, except under the following conditions:

Major Medical Emergency:

Student or member of student’s immediate family is hospitalized or under a physician’s care with specific orders to remain at home. The request must be accompanied by a physician’s letter indicating that the student or member of the student’s immediate family was incapacitated during the first 25% of the length of the Class or the first four weeks of the semester. The physician’s note must include specific dates for the period of inca- pacity.

Death of student or member of immediate family during the first 25% of the length of the Class or the first four weeks of the semester; copy of the official death notice must accompany request. A published newspaper obituary may serve as an official death notice.

In no case will a tuition refund be granted for a major medical emergency more than one semester beyond the end of the se- mester or term.

Administrative Error:

Administrative error made by the college. This must be supported by documented information.

Extreme Financial Hardship:

Demonstrated financial hardship that occurred during the first 25% of the length of the class or the first four weeks of the semester and based upon documentation presented.

In no case will a tuition refund be granted for extreme financial hardship more than one semester beyond the end of the semester or term.

Student’s Section - To Request a Tuition Refund/Late Drop, Please Complete the Following:

 

Student’s SSN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EmplID:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

MI

Jr.,3rd

 

Indicate the term for which you are requesting a refund/drop (i.e., Summer 1998, etc.)

 

 

 

 

 

 

 

 

 

Are you requesting a refund/drop for all of your classes?

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

If no, indicate how many credit hours will be left after the refund/drop

 

 

,then list the class(es) for which you are

 

requesting a refund:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

Please check the reason for request:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Major Medical Emergency

Administrative Error

 

 

 

Extreme Financial Hardship

 

 

 

 

 

 

 

 

SIGNATURE OF STUDENT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please attach the required documentation mentioned in the above policy. Failure to attach the documentation or incomplete documentation will result in your request being denied.

(Please Note: If financial aid funds were used to pay your tuition, you will not be able to document an extreme financial hardship.)

Please attach a completed “ADD/DROP Form” (JSRCC Form No. 11-0002).

If you have an address and/or telephone number that is different than what is on file in your college records, please complete and attached a “Student Request to Update Information Form” (JSRCC Form No. 11-0007).

Forward this form, your completed ADD/DROP form and the required documentation to the campus Success Center:

JSRCC Form No. 11-0009 Page 1 of 2: Tuition Refund/Late Drop Request Routing slip form 02/08

Tuition Refund/Late Drop Request Routing Slip

Student’s SSN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EmplID:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

MI

Jr.,3rd

 

 

 

 

Financial Aid Officer’s Section (to be completed for each student request):

 

 

 

 

 

 

 

Did this student receive financial aid for the term he/she is requesting a tuition refund/late drop?

Yes

No

 

 

 

 

If this student received financial aid, will he/she owe a repayment to financial aid programs?

Yes

No

 

 

If the student will owe a repayment, indicate the program(s) and amount(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Success Center Coordinator

 

 

 

 

 

 

 

I recommend approval

 

I recommend disapproval

 

 

 

 

 

 

 

Comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE:DATE:

 

Associate Vice President of Academic Affairs or Designee

I recommend approval

I recommend disapproval

Comments:

 

 

 

 

 

SIGNATURE:DATE:

Business Office Section

Has the student completely repaid the amount(s) listed above?

Yes

No

 

SIGNATURE:

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Processing Section

 

 

 

 

 

 

 

Central Admissions & Records Office:

 

 

 

 

 

 

 

 

Late drop process completed by:

 

 

 

DATE:

 

Central Business Office:

 

 

 

 

 

 

 

 

 

Student’s account records updated by:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

Refund request submitted by:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JSRCC Form No. 11-0009 — Page 2 of 2 02/08

Form Characteristics

Fact Name Details
Form Purpose This form is used by students of J. Sargeant Reynolds Community College to request a tuition refund or to late drop a class.
Eligibility for Refund Students can receive a refund only for courses dropped during the published drop period.
Conditions for Refund Refunds are available under conditions such as major medical emergencies, death in the immediate family, or administrative errors.
Major Medical Emergency A physician's letter is required to support claims of incapacity during the first 25% of the class duration.
Documentation Requirement Requests must include necessary documentation; failure to do so may result in denial.
Deadline for Refund Requests Requests cannot be made more than one semester after the conclusion of the term.
Financial Aid Considerations If financial aid has been received, the student must consider potential repayment obligations when requesting a refund.

Guidelines on Utilizing Jsrcc 11 0009

Completing the JSRCC 11 0009 form is an important step for students looking to request a tuition refund or to drop a class after the official drop period. Following the steps carefully will help ensure that your request is processed efficiently. Below are the detailed instructions to guide you through the process.

  1. Gather necessary information and documentation, including your Social Security Number (SSN), Employee ID (EmplID), and personal identification.
  2. Fill out the Student’s Section:
    • Enter your SSN and EmplID.
    • Provide your last name, first name, and middle initial (along with any suffix like Jr. or 3rd).
    • Indicate the term for which you are requesting a refund or drop.
    • Specify whether you are requesting a refund/drop for all classes. If not, indicate how many credit hours will remain and list the classes for which you are seeking a refund.
    • Check the appropriate reason for your request: Major Medical Emergency, Administrative Error, or Extreme Financial Hardship.
    • Sign and date the form.
  3. Attach required documentation as per the policy guidelines mentioned on the form. Make sure you have everything needed for your specific reason (e.g., physician’s letter, death notice, or financial documents).
  4. Include a completed ADD/DROP Form (JSRCC Form No. 11-0002) and any other relevant forms, such as a “Student Request to Update Information Form” (JSRCC Form No. 11-0007) if your contact information has changed.
  5. Submit the completed form along with all attachments to the campus Success Center.

After submission, the request will undergo a review process. Different sections, including Financial Aid and the Success Center Coordinator, will assess the application based on the provided information and documentation. This comprehensive evaluation will determine if approval for your refund or late drop can be granted.

What You Should Know About This Form

What is the JSRCC 11 0009 form used for?

The JSRCC 11 0009 form, also known as the Tuition Refund/Late Drop Request Routing Slip, is a document used by students to request a refund for tuition or to drop classes after the official drop period has passed. It applies specifically to J. Sargeant Reynolds Community College students who have dropped courses under qualifying circumstances, such as a major medical emergency, administrative error, or extreme financial hardship. Completing this form allows students to formally submit their request and provide supporting documentation as required by college policy.

What are the conditions for receiving a tuition refund after the drop period?

Tuition refunds are typically only available during the published drop period. However, students can still qualify for a refund under specific conditions: a major medical emergency affecting the student or their immediate family, the death of the student or a family member, or an administrative error made by the college. Additionally, students experiencing extreme financial hardship may also be considered for a refund if they can document their situation. For any of these scenarios, documentation must be included to support the claim, and the request must be submitted no later than one semester after the term in question.

What documentation is required to support a refund request?

To successfully submit a refund request using the JSRCC 11 0009 form, students must attach relevant documentation that supports their claims. For medical emergencies, a physician's letter detailing the incapacitation period is required. In cases of death, a copy of the official death notice or a newspaper obituary must be provided. For administrative errors, documentation that clearly outlines the mistake made by the college is essential. Moreover, if claiming an extreme financial hardship, students must present detailed financial information to demonstrate their circumstances. Failure to provide adequate documentation can lead to denial of the request.

What should I do if I received financial aid?

If you received financial aid and are now requesting a tuition refund or late drop, it’s crucial to understand how this may affect your financial aid status. The JSRCC 11 0009 form includes a section for the financial aid officer to complete, which will indicate whether a repayment is necessary. If financial aid was utilized to pay your tuition, this may complicate your request. To ensure clarity and compliance, it’s advisable to consult with the financial aid office before submitting your request to navigate potential repayment obligations correctly.

Common mistakes

When filling out the JSRCC 11 0009 form, mistakes can lead to delays or denials of requests. One common error is leaving out necessary personal information. For accurate processing, the student’s SSN and EmplID must be entered correctly. Ensuring that all names are spelled correctly is crucial, as any discrepancies can cause confusion.

Another frequent mistake is neglecting to indicate the term for which the tuition refund or late drop is being requested. This detail is essential for the college to process the application accurately. Along with specifying the term, students sometimes forget to check whether they are requesting a refund/drop for all classes or only some. Incomplete responses here can lead to misunderstandings regarding the request.

Providing insufficient documentation is a major error. Requests for refunds must be accompanied by supporting documents as outlined in the policy. For example, a letter from a physician for a medical emergency or a death notice must be included. Failure to attach these documents can result in automatic denial of the request.

Students also often overlook the requirement to attach an ADD/DROP form. This step is necessary for the request to be considered complete. In addition, if a student’s address or contact information has changed, that information must be updated with the appropriate form. Failing to do so may lead to further complications in communication.

Another area where mistakes occur is with the selection of reasons for the refund request. Students must accurately select one of the reasons given in the form. Misunderstanding the conditions for 'Extreme Financial Hardship' or 'Administrative Error' can lead to inappropriate selections and potential denials.

Signatures are also critical. Both the student and their respective officers need to sign and date the form. Omitting a signature creates a lack of authorization, causing the request to be halted in processing. Each section must be completed thoroughly for the request to be considered.

Financial aid recipients often make the mistake of not acknowledging their financial aid status on the form. This information is vital since it affects repayment obligations. If financial aid was used, the student must mention it to avoid any issues later.

Finally, failing to maintain copies of submitted forms and documentation can lead to complications. Students should keep a record of what they submitted for reference and follow-up. This way, if there is a need for clarification or a resubmission, students will have the necessary information as backup.

Documents used along the form

The JSRCC 11 0009 form is essential for students at J. Sargeant Reynolds Community College who are seeking a tuition refund or a late drop from a course. It is important to understand that this form often accompanies various other documents to ensure a smooth refund process. Below is a list of forms commonly used in conjunction with the JSRCC 11 0009.

  • ADD/DROP Form (JSRCC Form No. 11-0002): This form allows students to officially drop courses or add new ones. It is a critical component when processing a refund or late drop request.
  • Student Request to Update Information Form (JSRCC Form No. 11-0007): Use this form to update personal contact details. This is particularly relevant if a student has changed their address or phone number.
  • Financial Aid Award Letter: This document outlines the financial aid a student has received. It's crucial for determining any repayment obligations related to tuition refunds.
  • Physician’s Letter: A necessary attachment for requests due to major medical emergencies, this letter must detail the incapacity period and be signed by a healthcare provider.
  • Death Notice: In cases of a refund requested due to the death of an immediate family member, an official death notice or obituary must accompany the request.
  • Documentation of Financial Hardship: Students claiming extreme financial hardship must provide proof, such as bank statements or letters from social services, to justify their claim.
  • Administrative Error Documentation: If an administrative error led to the need for a refund or drop, relevant documentation is required to support this assertion.
  • Course Syllabus: Sometimes, instructors provide a syllabus that outlines course requirements. This can be helpful to clarify the timeline for withdrawal or refund eligibility.
  • Official Transcript: An unofficial or official transcript may be requested to confirm the student’s enrollment status and ensure proper processing of requests.
  • Confirmation of Submission Email: To keep track of submissions, students may want to save a copy of the email sent to the Success Center for verification purposes.

Understanding these accompanying documents can help streamline the process when submitting the JSRCC 11 0009 form. Each document plays a specific role in the overall process, ensuring requests are handled efficiently and accurately.

Similar forms

  • Tuition Appeal Form: Similar to the JSRCC 11 0009 form, the Tuition Appeal Form requests a reconsideration of tuition charges based on specific circumstances like medical emergencies or financial hardship. Both documents require validation of the claims made by the student, such as medical documentation or financial records.
  • Withdrawal Form: The Withdrawal Form facilitates a formal request for students to drop classes or withdraw from the college entirely. Like the JSRCC 11 0009, this form usually necessitates documentation supporting the reason for withdrawal and may also involve financial implications related to tuition refunds.
  • Financial Hardship Request Form: This document is tasked with evaluating requests related to extreme financial circumstances. Much like the JSRCC 11 0009, it demands thorough documentation to substantiate claims and is critically assessed by financial aid officers.
  • Add/Drop Form: The Add/Drop Form allows students to make schedule changes within a specified period. Similar to the JSRCC 11 0009, it must be accompanied by the appropriate documentation, especially when requesting a refund for dropped classes.

Dos and Don'ts

When filling out the JSRCC 11 0009 form, here are some important tips on what to do and what to avoid:

  • Do ensure all requested fields are completed accurately, including your SSN and EmplID.
  • Do attach any necessary documentation that supports your request, such as a physician's note or death notice.
  • Do check off the correct reason for your refund or late drop request.
  • Do submit your request within the published drop period to be eligible for a refund.
  • Don't leave any sections blank; incomplete forms may lead to a denial of your request.
  • Don't forget to sign and date the form before submission.

By following these guidelines, you can ensure that your request for a tuition refund or late drop will be processed smoothly.

Misconceptions

Misconceptions surrounding the JSRCC 11 0009 form often lead to confusion among students. Clarifying these common misunderstandings can help streamline the refund request process.

  • Only full tuition amounts can be refunded. Many believe that refunds can only be issued for the entire tuition amount. However, students are eligible for refunds based on specific credit hours dropped during the designated drop period.
  • Medical emergencies must be documented by a specialist. Some students think that medical documentation must come from a specialist. In reality, a letter from any physician will suffice, as long as it details the incapacity and includes specific dates.
  • Refund requests can be made at any time. Many individuals mistakenly assume there are no timing restrictions on refund requests. In truth, refund requests must be submitted within the first four weeks of the semester, or the first 25% of the class duration.
  • The college is responsible for all errors. While some believe that all administrative errors by the college will automatically entitle them to a refund, such claims require supporting documentation. Without this, the request may be denied.
  • Documentation requirements are lenient. It is a misconception that attaching incomplete documentation will still result in a request being evaluated. In fact, missing or insufficient documentation will lead to denial of the request.
  • Financial aid recipients have the same refund rights. Some students are unaware that those who received financial aid may face restrictions. If financial aid funds were used to pay tuition, they cannot request a refund for extreme financial hardship.

Key takeaways

Here are some key takeaways to keep in mind when filling out and using the JSRCC 11 0009 form for Tuition Refund or Late Drop requests:

  • Eligible Refund Period: Students can request a refund only during the published drop period. After this time, refunds are limited to specific conditions.
  • Conditions for Late Refunds: Requests filed after the drop period can be considered for major medical emergencies, the death of a family member, or documented administrative errors.
  • Documentation Required: Be sure to include all necessary documentation. Missing or incomplete documents will lead to denial of your request.
  • Financial Aid Considerations: If financial aid was used for tuition payment, the extreme financial hardship condition cannot be documented.
  • Signature Requirement: Your signature and the date on the form are essential. Forgetting this step can delay or disqualify your request.
  • Follow-Up Actions: After submitting the form, check with the Success Center to ensure all related forms and documents were received and processed.