LRCCBook Advance AuthorizationForm

Terms: Fall 20154,
Spring 20165 / Available from: Aug. 21, 2015 – Sept. 11, 2015
Available from: Jan. 8, 2016 – Jan. 29, 2016Available From: August 22 - September 19, 2014

If you are afinancial aid recipient who hasfinancial aid funds remaining after the payment of tuition and fees you may use the excess to purchase (or rent) books and supplies from the LRCC Bookstore during the book advance (voucher) period(10 days prior to the beginning of the semester). In order to do so, you must give LRCC written permission to apply federal financial aid to charges other than required tuition and fees.

Eligibility:

  • Your financial aid file must be complete (all requirements satisfied)
  • The Financial Aid Office must have received your signed Award Notification Letter
  • You must be due a refund
  • If you accepted the loan portion of Financial Aid you need to go online to and complete the Loan Entrance Counseling and the Master Promissory Note (MPN)

If you meet ALL the above requirements complete and return this form to the Financial Aid Office. **Please allow 48 hours for processing.**by August 15, 2014.

Please indicate your choice below:

Yes, I authorize LRCC to use my federal financial aid to pay other charges in addition to tuition and required fees.

No, I do not authorize LRCC to use my federal financial aid to pay charges other than tuition and required fees. I understand that I will be responsible for payment of these charges.

By marking “yes” above and signing this form you also agree to the following:

I understand and acknowledge that the LRCC bookstore program allows me to charge my books and other educationally related supplies to my LRCC account, and to have any excess financial aid I receive for the semester applied to those bookstore charges. If for any reason I fail to receive the financial aid upon which a bookstore credit is based, or if the amount of financial aid I receive for the semester is insufficient to pay for all charges on my account, I understand I am obligated to pay to LRCC the amount of any unpaid charges on my account resulting from the use of the bookstore program.I further understand that if I do not make payment in full, my account may be reported to the credit bureau and/or turned over to an outside collection agency. I also understand that I will be responsible for the costs of the outside collection agency, any legal fees, and any bounced check fees, which will add significant costs to my account balance.

Signature: ______Printed Name: ______

Student ID: ______Date: ______

You may cancel this authorization at any time by contacting the Office of Financial Aid at 603-524-3207

FOR OFFICE USE ONLY

Processed date:Staff Initials:

Processed time:

Rev 04/07/1402/23/15 MD