Authorization Change Form

Student name:*

First NameLast Name

Student ID number:*

AU email:*

example@aurora.edu

Per federal regulations and the Financial Responsibility Agreement you signed, the university will use completed Federal Title IV financial aid (Pell, SEOG, and Federal Direct Loans) to be credited toward tuition, fees, room, and board. If the total disbursed financial aid exceeds the total charges, the student’s AU account will reflect a credit balance.

You may modify the authorization by selecting one or both of the following options:

Hold credit balance:

I authorize the credit balance resulting from federal financial aid to remain on my AU student account through the academic year. Any credit balance that remains at the end of the loan period will be refunded within 14 days. If at any time you would like to cancel this hold credit balance authorization or request a one-time refund without cancelling your authorization, please contact the Student Accounts Office at student.accts@aurora.edu.

Refuse miscellaneous charges:

I DO NOT authorize Aurora University to credit financial assistance toward miscellaneous educational charges, such as book vouchers, library fines, parking tickets, etc. If I incur such charges, I will be responsible for payment, regardless of any credit balance I may have.

By signing this form, we hereby authorize Aurora University to use my Federal Title IV student aid as indicated above. Our signature(s) confirm that we have read and understand both the contents of this form and that this authorization is voluntary. The above policies will remain in place for the entire period the student is enrolled at AU, unless a request to cancel or modify the authorization is submitted.

Student signature:*

I, the student, agree to the terms above.

Student Signature Value

Date:*

Date

Parent signature:

I, the parent, agree to the terms above (if receiving Parent PLUS Loan).

Parent Signature Value

Date:

Date

Parent borrower name (if receiving Parent PLUS Loan):

First NameLast Name

Please verify that you are human:*

Please note:

You may submit a request to the Student Accounts Office at student.accts@aurora.edu to cancel or modify all or a part of this authorization at any time. Any changes would take effect as of the date the request is received at AU and are not retroactive.
If you do not have loans, any credit balance on your account at the end of an academic year will be refunded to you.
If you do have loans, any credit balance left on your account after you are no longer enrolled at least half-time, have left Aurora University, or at the end of the loan period will be refunded to you.

Student Information

Certification