ARIES Hold Processing



Modified Payment To Student Account Business & Financial Services Accounts Receivable Operations 6024 Campus Delivery Fort Collins, CO 80523-6024Student’s Name _________________________________________ CSUID ________________________KUALI Account Number* KUALI Sub-Account KUALI Object Code* KUALI Sub-Object CodePayment Amount**Required fieldsPLEASE PROVIDE THE FOLLOWING:______________________________ _________________________ __________________ Authorized Person (print) Signature Dept Name _______________ ____________ _____________Phone # Date SemesterReason/Description for Payment _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please note that Graduate Assistant Payments, Discretionary Scholarships, and Sponsor Designated Scholarships or Fellowships (53 and 99 funds) must be paid on a DPSA form. Return this form to Janet Fox, Accounts Receivable Operations, 6024 Campus DeliveryFor Office Use OnlyFinancial Aid Accounts Receivable Reviewed Processed______ ______ _______ ______Initial Date Initial Date ................
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