Berkeley College | Degree & Certificate Programs in NJ, NY ...



BROOKLYN, NY • NEW YORK, NY • WHITE PLAINS, NY

NEWARK, NJ • PARAMUS, NJ • WOODBRIDGE, NJ • WOODLAND PARK, NJ • BERKELEY COLLEGE ONLINE

Third Party Billing Agreement

I have presented authorization to the Student Account Office from my employer to bill for the tuition and fees that I’ve listed below. I understand and agree to the following:

I am responsible for making payment at the time of registration for charges that are not authorized by my employer.

I will be responsible for providing timely information as requested by either Berkeley College or my employer regarding this agreement.

I will be personally responsible for any payments not paid by the employer to Berkeley College- regardless of reason.

If Berkeley College does not receive payment from my employer by the end of the 4th week of the subsequent term to which this agreement applies, my account will be placed on hold and I will not be permitted to register or receive a diploma or transcript. In addition, a $75.00 late fee will be added to my account as per the Contract for Deferred Payment that I signed at time of registration.

I understand that this agreement does not relieve me from any financial responsibilities to Berkeley College since I am ultimately responsible for my entire student account balance. Failure on the part of my employer to make payment will cause Berkeley College to take collection activity against me.

I understand that I must file an agreement with the Student Account Office at the time of registration for each term.

Name of Student__________________________________________________________ (print)

Student ID#_______________________________

Term of Enrollment_________________________

Name of Employer____________________________________________________ (print)

My Employer will pay the following:

Tuition: $_________________

Fees: $_________________

Other: $________________ (please specify)_______________

I authorize Berkeley College to provide to my employer course and financial information pertaining to my enrollment under this agreement.

Signature: ________________________________ Date: _____________________

Delay in Enforcing Rights: The college may delay or refrain from enforcing any of its rights under this contract without losing them.

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