UC Blue Ash College Late Withdraw Form

Request for UC Blue Ash Students to Withdraw from a Class after the Published University Deadline
If you are a UC Blue Ash College student who has experienced an extenuating circumstance which prevented you from withdrawing from a course, or courses, by the published university semester deadline, please accurately complete all applicable fields below to begin the petition process to withdraw late. Discussion with your professor and their signature on the Add/Drop form should occur before you complete this request. Please note that this petition process will not refund any tuition dollars and approval is not guaranteed.

Download the Add/Drop PDF form online.
Examples of extenuating circumstances may include:
- Acute medical condition
- Chronic or recurring medical condition that worsened during the term
- Immediate family or personal emergency
- University error
Examples of insufficient circumstances that will not be considered may include:
- Withdrawing from courses to avoid low grades
- Dissatisfaction with the instructor
- Not being aware of term deadlines
- Nonattendance or lack of participation
Student Information
Student Name*

First NameLast Name
Student UCID*
M########
UC Student Email*
Example: 6+2@mail.uc.edu
Student Phone Number*

Area CodePhone Number
Are you a UC Blue Ash student?*

YesNo
This form is only applicable for University of Cincinnati Blue Ash College students.

To see what UC college your primary program is offered through, please login to Catalyst and navigate to your My Academics tile. Your academic profile including your UC college will be listed on the right hand side of that screen. If you are not a UC Blue Ash College student and are seeking a late withdraw from one or multiple classes, please contact One Stop to determine how to proceed.
How many courses are you petitioning to withdraw late from?*

1 Course2 Courses3 Courses4 Courses5 or more Courses

Course Information

All course information can be located in Catalyst by navigating to the "My Academics" tile and clicking on "Grades/Transcripts/Enroll Cert" and selecting "View My Grades." The most recent term will appear, if you need to look at a previous term, click on "Change Term."

Course 1
Subject*
Example: ENGL
Course Number*
Example: 1001
Section Number*
Example: 001
5-Digit Class Number*
Example: 12345
Course Offering Semester*
Example: Spring 2022
Instructor of Record*

First NameLast Name
Instructor UC Email*
For assistance finding the correct email address, please utilize the UC Directory.
Course 1 Add/Drop Form:*

Browse Files

Cancelof
Download the Add/Drop PDF form online. Please complete the following fields:
Links for Adobe Acrobat Reader Applications can be found here to assist you in completing the add/drop form.

Course 2
Subject:
Example: ENGL 1001
Course Number:
Example: 1001
Section Number:
Example: 001
5-Digit Class Number
Example: 12345
Course Offering Semester
Example: Spring 2022
Instructor of Record

First NameLast Name
Instructor UC Email
For assistance finding the correct email address please utilize the UC Directory at https://ucdirectory.uc.edu/example@example.com
Course 2 Add/Drop Form:

Browse Files

Cancelof
Download the Add/Drop PDF form online. Please complete the following fields:
Links for Adobe Acrobat Reader Applications can be found here to assist you in completing the add/drop form.

Course 3
Subject
Example: ENGL
Course Number
Example: 1001
Section Number
Example: 001
5-Digit Class Number
Example: 12345
Course Offering Semester
Example: Spring 2022
Instructor of Record

First NameLast Name
Instructor UC Email
For assistance finding the correct email address please utilize the UC Directory at https://ucdirectory.uc.edu/example@example.com
Course 3 Add/Drop Form:

Browse Files

Cancelof
Download the Add/Drop PDF form online. Please complete the following fields:
Links for Adobe Acrobat Reader Applications can be found here to assist you in completing the add/drop form.

Course 4
Subject
Example: ENGL
Course Number
Example: 1001
Section number
Example: 001
5-Digit Class Number
Example: 12345
Course Offering Semester
Example: Spring 2022
Instructor of Record

First NameLast Name
Instructor UC Email
For assistance finding the correct email address please utilize the UC Directory at https://ucdirectory.uc.edu/example@example.com
Course 4 Add/Drop Form:

Browse Files

Cancelof
Download the Add/Drop PDF form online. Please complete the following fields:
Links for Adobe Acrobat Reader Applications can be found here to assist you in completing the add/drop form.

Course 5
Subject
Example: ENGL
Course Number
Example: 1001
Section Number
Example: 001
5-Digit Class Number
Example: 12345
Course Offering Semester
Example: Spring 2022
Instructor of Record

First NameLast Name
Instructor UC Email
For assistance finding the correct email address please utilize the UC Directory at https://ucdirectory.uc.edu/example@example.com
Course 5 Add/Drop Form:

Browse Files

Cancelof
Download the Add/Drop PDF form online. Please complete the following fields:
Links for Adobe Acrobat Reader Applications can be found here to assist you in completing the add/drop form.

Course 6
Subject
Example: ENGL
Course Number
Example: 1001
Section Number
Example: 001
5-Digit Class Number
Example: 12345
Course Offering Semester
Example: Spring 2022
Instructor of Record

First NameLast Name
Instructor UC Email
For assistance finding the correct email address please utilize the UC Directory at https://ucdirectory.uc.edu/example@example.com
Course 6 Add/Drop Form:

Browse Files

Cancelof
Download the Add/Drop PDF form online. Please complete the following fields:
Links for Adobe Acrobat Reader Applications can be found here to assist you in completing the add/drop form.

Reason for Request to Withdraw Late

Please provide as much information as possible to help us understand your circumstance.
What is the basis of your request to withdraw late?*

Medical ConditionPersonal EmergencyImmediate Family EmergencyOther
In detail, please describe the extenuating circumstances that prevented you from withdrawing from this course or these courses. *
Please submit any documentation that supports your above statement. If your documentation includes sensitive information, please email your documentation to the Office of Academic Affairs at ucbacourseperm@ucmail.uc.edu.*

Browse Files
You may be contacted to provide additional supporting documentation. Cancelof
By selecting "Yes, I understand" below, you agree to the following:
I understand that approval for a late withdraw is not guaranteed*

Yes, I understand
I have had a conversation with Enrollment Services and understand how this could impact my financial aid*

Yes, I understandI do not receive financial aid
I understand that I will not receive a tuition refund if my request is approved*

Yes, I understand
Is there any additional information you would like to include for consideration?
By initialing here, you certify that you are the student and the information submitted is accurate and complete:
Student Initials in Agreement
Should be Empty:

Request for UC Blue Ash Students to Withdraw from a Class after the Published University Deadline

Student Information

This form is only applicable for University of Cincinnati Blue Ash College students.

Course Information

Reason for Request to Withdraw Late

By selecting "Yes, I understand" below, you agree to the following: