2025-2026 Late Disbursement Authorization Form

2025-2026 Late Disbursement Authorization Form
If you need assistance with this form, contact Mid Michigan College Financial Aid at (989) 386-6664 or finaid@midmich.edu.
Student Name *

First NameLast Name
Mid Michigan College Student ID Number*
You can find your Student ID Number on your Mid Michigan College Student ID Card or in myMid.
Student Email Verification

To complete and submit this form, you must verify your Mid Mich Email.
Enter Your Mid Mich Email*
You MUST provide a Mid Mich Email so that we can verify your identity. Other emails will not be accepted and you will be unable to complete this form.
ERROR The email you entered is not a Mid Mich Email. In order to complete this form, you must enter a Mid Mich Email so we can verify your identity.
Re-enter your Mid Mich Email for verification, Click 'Verify Email', and follow the directions. *
Authorization Details
This form gives authorization to Mid Michigan College Financial Aid to credit a late disbursement you are entitled to due to your withdrawal from the College. An email was sent to your Mid Mich Email account indicating the type and amount of aid you are eligible to receive. If you have any questions about the disbursement process, contact Financial Aid.

Please read the information carefully and sign the form.

If you do not wish to accept the funds, email finaid@midmich.edu and we will cancel the award.
I would like to receive the financial aid that I am entitled to in a late disbursement. I understand that these funds will be disbursed directly to my student account. Any overpayment to the account will be sent in a refund check.

If the funds do not pay off the balance on my bill, I understand that I must
contact Business Services in order to pay my balance due.

Any loan funds that I receive will need to be repaid to the federal government based on the terms of the promissory note.

I have read and understood all of this information.
Student Signature*

Clear
Date*

MonthDayYear
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2025-2026 Late Disbursement Authorization Form

Student Email Verification

Authorization Details