Complete this form to request approval for an adjustment to a student's account given special circumstances.


Type information onto the form.
Print the form, sign and attach documents that support the request.
Forward to budget manager for approval.


CPE employees should use this form when taking CPE courses. Approval of a price reduction to $0 must be obtained using this form prior to registration.


The following is required or the form will be returned:

  • Special Circumstance Account Adjustment Approval Form
  • Documentation supporting the account adjustment (if necessary)