Registration Exception Request
Billing and Receivables Office
Name
*
First Name
Last Name
Email
*
Must be your @wiu.edu email address
WIU ID
*
Provide your @wiu.edu email address above to continue.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Account Balance
*
I request a registration exception for:
Semester
*
Please Select
Fall
Spring
Summer
Year
*
My account balance will be cleared in the following manner. Enter all that apply:
*
Rows
$ Amount
Sign endorsement authorization for WIU paycheck
Personal payment will be received prior to account clearance. (Notify the Billing & Receivables Office when payment is made to secure final clearance)
Financial Aid (i.e. Federal Direct Loan(s), Federal Pell Grant, etc.)
Other
Agreement
*
If the above conditions are not met, the classes I am going to register for will be canceled. I agree to and understand all of the above conditions.
Submit
Should be Empty: