THE
UNIVERSITY OF MAINE
LATE FEE WAIVER FORM
Please Check Applicable
Term(s) and Enter Year
Fall _______Spring ________Summer ________Year_________
|
Name:
_________________________________ |
Date:
_____________________________ |
|
Address:
________________________________ |
MaineStreet ID#: ____________________ |
|
_______________________________________ |
MaineStreet ID# Example: (1234567) |
|
_______________________________________ |
Phone #___________________________ |
Reason(s) fee should be waived
(Please be specific):
Attach all
confirming documents and return this completed form to the Bursar’s Office. A
copy will be returned to you with the response.
-BURSAR’S OFFICE USE ONLY-
Approved _________ Denied _________ Pending _________ By: _________
Date: _________
Reason(s) for denial:
____________________________________ _____________
Bursar or Associate Bursar
Date
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