USCOHealth Fee Refund Request Form

Fee Refund Request Form

Relevant Standards

SRTO 2025: Standard 2.1 (c) (iii), (d), (e)

The National Code 2018: Standard 2, 3

Linked Documents

Student Fess Policy

Fee Refund Policy and Procedure

Student Agreement

Note: Please make sure that you have read and understood all the related policies - in particular the Fee Refund Policy - before submitting this form
Student ID if Given
Student Name*
Email*
example@example.com
Enrolled Course(s) (Please list all the courses you are enrolled in)
Course Code
Course Name
Course Code
Course Name
Course Code
Course Name
Full Address
Address
Country
Postcode /ZIP
Reason(s) for Request for Refund – Fill in the Details

(Supporting documents/evidence must be attached. USCH may not be able to process a refund if satisfactory reasons and supporting documentation is not provided)
Choose a reason below*

MedicalVisa RelatedTransferOther
Details of your reason
Details of your reason
Details of your reason
Details of your reason
Bank Details for Electronic Refund (As applicable)
Bank Name
Branch Number/BSB
Bank Address
IBAN
Account Number
SWIFT Code
Account Name
Student Declaration and Signature
Declaration: I have fully read and understood Unity Skills College of Health's refund policy and understand that the refund can only be made to myself or a personal authorised by me in writing.
Signature*

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Date

DayMonthYear
Date
Supporting documents/evidence must be attached*

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Fee Refund Request Form