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The J. Sargeant Reynolds Community College (JSRCC) Form 11-0009 is a crucial document for students seeking tuition refunds or late class drops. This form outlines the specific processes and conditions under which students can recover funds for credit hours dropped during the designated period. While students are generally eligible for refunds during this timeframe, there are exceptions. For instance, if a student or a member of their immediate family experiences a major medical emergency, documentation from a physician must be provided. This documentation should indicate the duration of incapacity within the critical initial weeks of the semester. Additionally, in the unfortunate event of a death within the immediate family during the same period, relevant proof such as a death notice is required. The form also accommodates requests due to administrative errors made by the college or instances of extreme financial hardship, both requiring proper documentation to support the claims. Furthermore, the form mandates the completion of vital personal information, acknowledgment of the reason for the request, and the submission of supporting materials to ensure a smooth processing experience. The routing slip ultimately requires approval from various college officials, ensuring that the request is thoroughly reviewed and evaluated with care.

Jsrcc 11 0009 Example

J. SARGEANT REYNOLDS COMMUNITY COLLEGE

Tuition Refund/Late Drop Request Routing Slip

Policy Section: (College Policy 1-2)

Students are eligible for a refund of those credit hours dropped during the published drop period. After the published drop period has passed, there shall be no refunds, except under the following conditions:

Major Medical Emergency:

Student or member of student’s immediate family is hospitalized or under a physician’s care with specific orders to remain at home. The request must be accompanied by a physician’s letter indicating that the student or member of the student’s immediate family was incapacitated during the first 25% of the length of the Class or the first four weeks of the semester. The physician’s note must include specific dates for the period of inca- pacity.

Death of student or member of immediate family during the first 25% of the length of the Class or the first four weeks of the semester; copy of the official death notice must accompany request. A published newspaper obituary may serve as an official death notice.

In no case will a tuition refund be granted for a major medical emergency more than one semester beyond the end of the se- mester or term.

Administrative Error:

Administrative error made by the college. This must be supported by documented information.

Extreme Financial Hardship:

Demonstrated financial hardship that occurred during the first 25% of the length of the class or the first four weeks of the semester and based upon documentation presented.

In no case will a tuition refund be granted for extreme financial hardship more than one semester beyond the end of the semester or term.

Student’s Section - To Request a Tuition Refund/Late Drop, Please Complete the Following:

 

Student’s SSN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EmplID:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

MI

Jr.,3rd

 

Indicate the term for which you are requesting a refund/drop (i.e., Summer 1998, etc.)

 

 

 

 

 

 

 

 

 

Are you requesting a refund/drop for all of your classes?

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

If no, indicate how many credit hours will be left after the refund/drop

 

 

,then list the class(es) for which you are

 

requesting a refund:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class and Title

 

 

 

 

 

 

 

 

Please check the reason for request:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Major Medical Emergency

Administrative Error

 

 

 

Extreme Financial Hardship

 

 

 

 

 

 

 

 

SIGNATURE OF STUDENT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please attach the required documentation mentioned in the above policy. Failure to attach the documentation or incomplete documentation will result in your request being denied.

(Please Note: If financial aid funds were used to pay your tuition, you will not be able to document an extreme financial hardship.)

Please attach a completed “ADD/DROP Form” (JSRCC Form No. 11-0002).

If you have an address and/or telephone number that is different than what is on file in your college records, please complete and attached a “Student Request to Update Information Form” (JSRCC Form No. 11-0007).

Forward this form, your completed ADD/DROP form and the required documentation to the campus Success Center:

JSRCC Form No. 11-0009 Page 1 of 2: Tuition Refund/Late Drop Request Routing slip form 02/08

Tuition Refund/Late Drop Request Routing Slip

Student’s SSN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EmplID:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

MI

Jr.,3rd

 

 

 

 

Financial Aid Officer’s Section (to be completed for each student request):

 

 

 

 

 

 

 

Did this student receive financial aid for the term he/she is requesting a tuition refund/late drop?

Yes

No

 

 

 

 

If this student received financial aid, will he/she owe a repayment to financial aid programs?

Yes

No

 

 

If the student will owe a repayment, indicate the program(s) and amount(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Success Center Coordinator

 

 

 

 

 

 

 

I recommend approval

 

I recommend disapproval

 

 

 

 

 

 

 

Comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE:DATE:

 

Associate Vice President of Academic Affairs or Designee

I recommend approval

I recommend disapproval

Comments:

 

 

 

 

 

SIGNATURE:DATE:

Business Office Section

Has the student completely repaid the amount(s) listed above?

Yes

No

 

SIGNATURE:

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Processing Section

 

 

 

 

 

 

 

Central Admissions & Records Office:

 

 

 

 

 

 

 

 

Late drop process completed by:

 

 

 

DATE:

 

Central Business Office:

 

 

 

 

 

 

 

 

 

Student’s account records updated by:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

Refund request submitted by:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JSRCC Form No. 11-0009 — Page 2 of 2 02/08

File Breakdown

Fact Name Description
Form Purpose The JSRCC 11 0009 form is used to request a tuition refund or a late drop from classes at J. Sargeant Reynolds Community College.
Refund Eligibility Students can receive a tuition refund for courses dropped within the published drop period, generally within the first four weeks of the semester.
Major Medical Emergency If the student or an immediate family member faces a major medical emergency, they may be eligible for a refund with appropriate documentation.
Death of Family Member In the event of a death within the immediate family during the drop period, the request must include an official death notice or obituary.
Administrative Error Tuition refunds may be granted in cases of documented administrative errors made by the college.
Financial Hardship Demonstrated financial hardship occurring during the drop period can also qualify students for a tuition refund with sufficient documentation.
Submission Requirements Students must attach required documentation to support their refund requests, or their applications will be denied.
Processing Structure The form must be processed by multiple college departments, including Financial Aid and the Business Office, ensuring thorough review.

Guide to Using Jsrcc 11 0009

Completing the JSRCC 11 0009 form is an essential step in seeking a tuition refund or a late drop of classes. Following the outlined process will help ensure your request is properly submitted and reviewed. Gather all necessary documentation to make this process smoother.

  1. Begin by entering your Student's SSN in the designated field.
  2. Next, input your EmplID in the corresponding space.
  3. Provide your Last Name, First Name, and middle initial.
  4. Indicate the specific term for which you are requesting a refund or late drop, such as “Summer 1998.”
  5. Answer the question: “Are you requesting a refund/drop for all of your classes?” by selecting either Yes or No.
  6. If you selected No, indicate the number of credit hours that will remain after the refund/drop.
  7. List the class(es) for which you are requesting a refund, including the class name and title for each.
  8. Check the reason for your refund request by selecting one of the following options:
    • Major Medical Emergency
    • Administrative Error
    • Extreme Financial Hardship
  9. Sign and date the form in the designated area to confirm your request.
  10. Ensure that all required documentation, as specified in the policy, is attached to your application. Missing or incomplete documents will lead to denial of your request.
  11. If applicable, complete and attach the “ADD/DROP Form” (JSRCC Form No. 11-0002).
  12. If your address or telephone number differs from what is on file, include a “Student Request to Update Information Form” (JSRCC Form No. 11-0007).
  13. Submit this form, along with the completed ADD/DROP form and any required documentation, to the campus Success Center.

Get Answers on Jsrcc 11 0009

What is the JSRCC 11 0009 form used for?

The JSRCC 11 0009 form is a Tuition Refund and Late Drop Request Routing Slip specifically designed for students at J. Sargeant Reynolds Community College. This form allows students to apply for a refund of tuition for courses they have dropped or to formally request a late drop for classes. It provides the necessary documentation and routing required for the college to process these requests in accordance with established policies.

What are the reasons I can request a tuition refund or late drop?

Students may submit a request for a tuition refund or late drop under certain conditions. Here are the main reasons accepted:

  1. Major Medical Emergency: This applies when the student or a member of their immediate family experiences a significant medical issue requiring hospitalization or physician’s care, along with a letter from a doctor confirming the incapacity and specific dates.
  2. Death: If a student or a member of the immediate family passes away during the first part of the semester, requests must include a copy of the official death notice or published obituary.
  3. Administrative Error: If there was an administrative mistake made by the college, proper documentation must support the request.
  4. Extreme Financial Hardship: Students must demonstrate financial hardship within the first quarter of the semester, along with appropriate supporting documentation.

Keep in mind that requests based on these conditions should be submitted within specific timelines following the relevant semester.

What documentation do I need to include with my request?

When completing the JSRCC 11 0009 form, it is crucial to provide the necessary documentation required for your specific situation. The type of documentation needed includes:

  • A physician’s letter detailing the medical emergency, including specific dates, if applicable.
  • A copy of the official death notice or a published obituary in the case of a death.
  • Records supporting any claims of administrative errors made by the college.
  • Documentation demonstrating extreme financial hardship, if that is the basis for your request.

Inability to include complete and adequate documentation may lead to denial of your request.

What should I do if I receive financial aid?

If financial aid was utilized for your tuition, it's important to note that it affects how your refund request can be processed. Specifically, if you received financial aid, you will not be able to document an extreme financial hardship through the JSRCC 11 0009 form. Furthermore, the financial aid officer will need to complete a section of the form to determine if you owe any repayments to financial aid programs based on your request.

It's essential to check the financial aid status when submitting this form to ensure all components are correctly handled.

Common mistakes

When filling out the JSRCC 11 0009 form, many students make critical mistakes that can jeopardize their refund or late drop requests. One major error is failing to provide complete or accurate information in the student’s section. It's essential for students to ensure that their Social Security Number (SSN), Employee ID (EmplID), and full name are correctly entered. Inaccuracies in these details may lead to processing delays or outright denials.

Another frequent mistake involves neglecting to attach required documentation. The form explicitly states that a physician’s letter, death notice, or evidence of administrative error must accompany the request, depending on the selected reason for the refund. Without this documentation, the request is likely to be denied, regardless of the circumstances.

Students often select the wrong reason for their request, which can complicate the process. Each reason—be it Major Medical Emergency, Administrative Error, or Extreme Financial Hardship—has specific conditions and requirements attached. Misunderstanding or misclassifying the request can lead to additional scrutiny and the potential for denial.

Completion of the required ADD/DROP form is another area where errors frequently occur. Some students forget to include this supplementary form, which is necessary for processing the refund or late drop request. Be aware that this requirement is non-negotiable. Omitting it can result in automatic denial.

A common oversight includes not indicating whether the refund or drop request pertains to all classes or just a few. The yes/no section must be filled out correctly and followed by clear indications for any classes impacted. Failure to do so can create ambiguity regarding the student’s intentions, prompting further delays.

Inconsistencies between the student’s current contact information and what's on file at the college is another mistake that can lead to issues. If there have been recent changes in a student’s address or phone number, it is crucial to complete and attach the Student Request to Update Information Form. This ensures that all communications are sent to the appropriate location and that processing can proceed smoothly.

Another area ripe for confusion lies in the financial aid section. Students who have received financial aid should carefully note whether they are subject to repayment obligations. Misunderstanding this obligation could not only affect their eligibility for a refund but also lead to complications with future financial aid applications.

Finally, failing to sign and date the form is a common oversight that can stall the entire process. The signature serves as a confirmation that all information is accurate and the student understands the implications of their request. Neglecting this step can delay processing times and may lead to an outright invalid request.

In sum, careful attention to detail is paramount when submitting the JSRCC 11 0009 form. By avoiding these common mistakes, students can enhance their chances of a successful refund or late drop request.

Documents used along the form

When submitting a tuition refund or late drop request using the JSRCC 11 0009 form, several additional documents often play a critical role in the process. These supporting forms ensure that all relevant information is accurately captured, allowing college personnel to make informed decisions regarding the request. Below is a list of key documents typically used alongside the JSRCC 11 0009 form.

  • ADD/DROP Form (JSRCC Form No. 11-0002): This form is necessary for students who wish to officially drop a class or add a new one. It provides a record of the changes to a student's class enrollment and must be completed and submitted with the tuition refund request.
  • Student Request to Update Information Form (JSRCC Form No. 11-0007): If a student’s contact information has changed, this form allows them to provide updated details. It ensures that the college has the current address and phone number on file, which is crucial for communication regarding tuition refunds or late drops.
  • Physician's Letter: In cases of major medical emergencies, a physician's letter is needed. This document must state that the student or a family member was incapacitated and unfit to attend classes. Specific dates and details about the condition should be included, confirming the required timeframe.
  • Death Certificate or Obituary: If a student is requesting a refund due to the death of an immediate family member, official documentation is needed. A copy of the death certificate or an obituary published in a newspaper can serve as valid proof in this situation.
  • Financial Documentation: For those claiming extreme financial hardship, appropriate financial documentation is necessary to substantiate the request. This could include layoff letters, bank statements, or any other relevant proof demonstrating financial need during the critical period.

Properly completing and submitting these additional forms along with the JSRCC 11 0009 can significantly streamline the review process. By providing comprehensive and supportive documentation, students enhance the likelihood of a favorable outcome for their tuition refund or late drop requests.

Similar forms

  • ADD/DROP Form (JSRCC Form No. 11-0002): Similar to the JSRCC 11 0009 form, the ADD/DROP form is used to manage course enrollments. Both forms require students to specify classes they are adding or dropping, and both must be forwarded to designated college offices for processing.
  • Student Request to Update Information Form (JSRCC Form No. 11-0007): This form is also essential for students seeking to update their personal information. Like the JSRCC 11 0009 form, it emphasizes the importance of accurate records, necessitating submission to maintain effective communication with the college.
  • Tuition Payment Agreement: The Tuition Payment Agreement outlines the responsibilities of students regarding their tuition payments. Both this document and the JSRCC 11 0009 form highlight financial obligations and require students to submit supporting documentation for certain exceptions or refunds.
  • Financial Aid Application: This application collects information on a student's financial situation to assess eligibility for financial aid, similar to how the JSRCC 11 0009 form addresses requests for refunds based on financial hardship. Both forms focus on documenting relevant circumstances.

Dos and Don'ts

When filling out the JSRCC 11 0009 form, it's essential to adhere to specific guidelines to ensure a smooth process. Here’s a list of things you should and shouldn’t do:

  • Do provide your full name, SSN, and EmplID accurately.
  • Do clearly indicate the term for which you are requesting a refund or drop.
  • Do attach all necessary documentation to support your request.
  • Do check only one reason for your request.
  • Don't submit the form without the required documentation, as this will lead to denial.
  • Don't forget to sign and date your application before submitting.

Following these simple steps can help ensure that your submission is processed without unnecessary delays.

Misconceptions

Misconceptions about JSRCC 11 0009 Form

Misconceptions about the JSRCC 11 0009 form can lead to confusion and hinder students from successfully processing their requests for tuition refunds or late drops. Below are some common misconceptions, along with explanations to clarify the actual policies.

  1. Only students who drop all their classes can request a refund. This is incorrect. Refund requests can be made for specific classes, not just for the entire course load. Students need to indicate which classes they are dropping on the form.
  2. Documentation requirements can be overlooked if the reason seems serious enough. Unfortunately, that’s not true. Regardless of the severity, all refund or late drop requests must include the necessary documentation, such as a physician's note or proof of financial hardship.
  3. Refunds are automatically granted once the request is submitted. This is a misconception. Submitting a request does not guarantee a refund. The request must be reviewed and approved based on the established reasons outlined in the policy.
  4. Extreme financial hardship can be claimed at any time during the semester. That’s misleading. Students can only request a refund for extreme financial hardship that occurs during the first 25% of the length of the class or the first four weeks of the semester.
  5. Death of a family member automatically ensures a refund is issued. While it is an eligible reason for a refund, documented proof must be provided, and the request must still fall within the specified time frame of the class duration.
  6. If financial aid was received, students can easily claim hardship without consequences. This is inaccurate. If financial aid funds were used to pay tuition, students cannot document extreme financial hardship and risk losing their financial aid eligibility.

Key takeaways

Key Takeaways for Completing the JSRCC Form 11 0009:

  • Students may receive refunds for dropped classes only during the designated drop period. Late requests after this period will not be considered, unless specific conditions are met.
  • Valid reasons for requesting a refund include a major medical emergency, the death of a family member, or administrative errors made by the college. Proper documentation must accompany the request.
  • Documentation must be complete. Inadequate paperwork will lead to the denial of the request. This includes attaching a physician’s letter or a death notice when applicable.
  • If financial aid was utilized for payment, students cannot claim extreme financial hardship. They should also submit any requisite forms to update personal information.