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Tuition Appeal Form

This form is to be used to request an adjustment of tuition charges due to extenuating circumstances that affected your ability to complete your class(es) in a given semester.

What is the Institutional Refund Policy?

The Institutional Refund Policy for credit courses at RVCC allows a 100% refund of tuition and fees for courses dropped within a specific range of dates governed by the start date of each course. After the end of each 100% refund period, no other refunds will be granted. These dates are posted every semester on the RVCC website, and will vary from semester to semester.

How do I request an exception to the Institutional Refund Policy?

Please fill out the form below. Please note that you must withdraw from the course before you file an appeal. Appeals for courses in which you are still enrolled or that you received a grade in may not be considered.

What are the deadlines for appealing?

Fall term petitions must be submitted before April 1st of the following year.

Spring term, before September 1st of the same year.

Summer term, before November 1st of the same year.

Student Information

Student Name
First Last
RVCC ID Number (ex: A00123456)*
Current Phone*
Current Address
Street Address Address Line 2 City State ZIP Code
Email*
Please select the term you are appealing*
Reason for appeal*
Personal Statement*
Please explain the extenuating circumstances which prevented you from completing your course(s).
Attached Files*
Please attach any essential documentation that supports your appeal. Please note: Documentation should be on official letterhead from source.
Max. file size: 50 MB.
Course(s) you are appealing:*
Please include course name and subject code or CRN. (Ex: ENG102R College Comp or 30057)
Consent 1*
I understand that submitting a request does not guarantee an adjustment of charges.
Consent 2*
I understand that even if my request is approved, I may still have a balance that I am responsible to pay.
Consent 3*
I understand that if I received Financial Aid I should contact the Financial Aid Office to determine how this request will affect my eligibility.
CERTIFICATION*
By signing, I acknowledge the following: *I have read and understand the requirements of this request *Submission of this appeal does not guarantee its approval *The information provided within this request is complete and accurate *An incomplete request may be denied if additional information is not received within two (2) weeks of the request date

Tuition Appeal Form

Student Information

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