Finance charge appeal form

Today's Date

School:

	CSB
	SJU

Last Name

First Name

Student ID Number

Finance charge amount posted on the account

In the space provided below, write the information you would like to have the Appeals Committee consider when reviewing your appeal. Include details as to why you feel your finance charge should be reversed.

Email Address

You will receive email notification of the decision by the appeals committee within 30 days of submitting your appeal.

Leave this blank, it's here to thwart SPAM bots.