student accounts office...2.requests for payment plan adjustments can only be submitted by the...
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Student Accounts Office 45155 Research Place, Suite 250 Ashburn, VA 20147Phone: 202-994-7350Email: [email protected]
Payment Plan Adjustment Form
GWID1:
Student:
Semester:
I request that the George Washington University adjust the balance of my current payment plan to be:
New Plan Balance:
By signing and submitting this form, I authorize the George Washington University to adjust or cancel my2 current payment plan as requested above. I understand that this form must be submitted to and received by the George Washington University, using the contact information below, no less than 3 business days prior to the due date of a scheduled installment for adjustments or cancelations take effect by the next scheduled installment due date.
If requesting adjustment:I understand that the requested "New Plan Balance" amount will be equally divided by the number of scheduled installments that remain unpaid at the time of the submisson of this form. I understand that the submission of the form does not change the due date of the remaining scheduled installments.
If requesting cancellation: I understand that the cancellation of the payment plan will result in the removal of all scheduled installments associated with the current payment plan, and that I am responsible for submitting payment for my full student account balance by the first day of the associated semester or the date the plan is canceled, whichever is later. I understand that by canceling the payment plan, the student account is now eligible for late payment fees and finance charges on any outstanding balance after the payment due date.
Signature: Date:
Submit completed forms to [email protected].
THIS FORM CANNOT BE USED TO ADJUST THE CURRENT SEMESTER PAYMENT PLAN BALANCE ON OR AFTER THE FIRST DAY OF THE SEMESTER.
1.Your GWID is the Uppercase letter G followed by an 8 digit number. Forms submitted with an invalid GWID will not be processed.
2. Requests for payment plan adjustments can only be submitted by the student or authorized user who established the payment plan.
I request that the George Washington University cancel my current payment plan.