OGS Fee Payment Request

For authorized personnel only. Use this form to complete OGS Fee Payment Requests.

Graduate Coordinator's Name:
Check here if you wish to receive a copy of this form. If so, fill in your email address below:
Graduate Coordinator's Email:

Student's Name:
(Last, First)
Student's Department:
Please enter the department to which the student belongs
Student's PID:
Please enter the student's identification number

Request Fee Payment For:
Fall
Winter
Spring

If you are deleting a fee payment, you must provide an explanation below. Otherwise, leave this part blank and submit the form.

Deleting fee payment because of:
Leave of Absence
Withdrawal
Receiving Terminal Degree

Comments (optional)

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