Forms

Most Office of the Bursar forms are available in online (digital signature) format, which requires logging in with your UA Username and Password. To retrieve your username and password, visit me.uaa.alaska.edu. Please contact our office if you need a hard copy form mailed to you.

Student Forms

  • Petition for Refund (Tuition & Course Fees)

    The purpose of the Petition for Refund process is to provide support to students who are unable to complete courses due to exceptional circumstances that occurred during the semester. In all cases, supporting documentation and a personal statement from the student are required, explaining the exceptional circumstances that arose or came to light after published deadlines. For a request to be considered, a final grade must be assigned to the course (Withdrawal, Failing,  or no No Basis). Incomplete grades and courses for which registration is still active are ineligible for refund consideration. The deadline to submit a Petition for Refund is no later than one academic year following the semester in which the course was offered. Requests that are not received within this time frame will not be considered. UAA's full refund policy is published in the UAA Catalog.

    These forms require Single Sign On with your UA Username and Password. To retrieve your username and password, visit me.uaa.alaska.edu.

    Petition for Refund Request (Tuition & Course Fees) - Digital Signature

    Please Note: The Petition for Refund processes cannot be used for requesting waivers of mandatory student fees. Mandatory Student Fees are not refundable unless a student drops all courses during the 100% refund period. The Petition for Refund process also may not be used to request a refund for Bookstore charges. Please visit the Bookstore website for contact information related to refunds.

  • Petition for Refund (Late Fees only)

    The purpose of the Petition for Refund (Late Fees) process is to provide support to students who are unable to pay their bill by published deadlines due to exceptional circumstances. Students are held financially and academically responsible for all courses for which they register, regardless of any anticipated aid not yet received by the university. In all cases, supporting documentation and a personal statement from the student are required, explaining the exceptional circumstances. The balance must be paid in full prior to submission of the request. The deadline to submit a Petition for Refund is no later than one academic year following the semester in which the charge was incurred. Requests that are not received within this time frame will not be considered. UAA's full Financial Obligations policy is published in the UAA Catalog.  

    Petition for Refund (Late Fees Only) - Digital Signature

  • Title IV Authorization

    Title IV Financial Aid funds are federal student aid dollars administered by the U.S. Department of Education and include Direct Subsidized/Unsubsidized Loans, Direct PLUS Loans, Federal Pell Grants, and Federal Supplemental Educational Opportunity Grants (FSEOG).

    Federal regulations allow schools to use Title IV financial aid to pay current academic year institutional charges, including tuition, mandatory fees, and room & board (if contracted with the university). The university will automatically apply your Title IV financial aid toward current institutional charges on your student account.

    However, by law, other miscellaneous non-institutional charges you may incur throughout the academic year, as well as prior aid year charges, cannot be paid with Title IV financial aid without your written consent. This leaves you with the responsibility to pay these charges, even if you receive a financial aid refund. Common non-institutional student account charges include, but are not limited to:

    • Textbookx charges
    • Parking permits
    • Parking citations
    • Library fines
    • New Student Orientation fees
    • Health center charges
    • Housing damage charges
    • Check stop-payment fees


    Completion of the Title IV Authorization Form allows the university to use your Title IV financial aid in excess of your current institutional charges to pay any remaining charges on your student account, including non-institutional charges (except late fees) and/or prior aid year charges up to $200, per federal regulations.

  • Loan Revision Request
    The Revision Request form will allow the UAA Office of Financial Aid to make adjustments to your existing financial aid awards after you have initially accepted or declined them via UAOnline. If you have not accepted or declined your award via UAOnline and wish to do so, instructions are available on the UAA Office of Financial Aid website. Please contact the Office of Financial Aid directly for questions regarding Revision Requests.
  • Authorization to Release Education Record Information

    Under the Family Educational Rights and Privacy Act, UAA is limited in the information we can share with individuals and agencies other than directly with the student. If students wish UAA to discuss student account information with parents, spouses, or others assisting them with their educational goals, they must provide written authorization by completing the Authorization to Release Education Record Information form. The completed form and a copy of photo ID must be submitted to the Office of the Registrar.

    Please Note: While the authorization form allows UAA to discuss specific student account information with the authorized individual, it does not authorize that individual to act on behalf of the student.

  • Student-Initiated Drop/Withdraw

    If you have a financial hold on your student account, you will not be able to make changes to your registration in UAOnline. To drop or withdraw from a course with a hold on your account, you must use the Student-Initiated Drop/Withdraw form.

    • Log in with your UA Username and Password
    • Forms must be submitted by 5pm on the deadline day.
    • Deadlines for dropping/withdrawing can be found on the Dates and Deadlines Calendar.
    • Verifying processing within 1-3 days on UAOnline.
  • Employee/Dependent Tuition Waiver and Payroll Deduction

    Tuition Waiver Requests for Employees (Faculty, Staff, Adjunct), Spouses, & Dependents UA Logo

    Please read important instructions below before submitting your tuition waiver:

    • Employee/Spouse/Dependent Tuition Waivers are available electronically on the University of Alaska Benefits - Education webpage.
    • ETW waives tuition only.
    • You are responsible for any student and/or course fees associated with the course(s).
    • Payment (including waiver submission) must be submitted by the payment deadline to avoid late fee(s)
    • ETW forms are only accepted until the last day of class for the term in question, submissions past the term end date will be denied.

    For more information, including eligibility and restrictions, see University Regulation 04.06.010 (Employee Education Benefits). Waivers will start to be processed approximately two weeks prior to the first day of the semester.

    Payroll Deduction Request

    Employee Selected Payroll Deduction Form

  • Senior Citizen Tuition Waiver

    UAA welcomes senior citizens to its classrooms and waives tuition for those eligible under Board of Regents policy R05.10.080.B. Regular tuition shall be waived for Alaska residents who meet the following criteria: they must be age 65 by the first day of instruction of the semester they must register on a space available basis. "Space available basis" means when courses can accommodate such students in addition to other enrolled students.

    Follow three easy steps to complete registration:

    1. If you have not taken classes in the last two years, complete a Non-Degree Application for Admission at UAOnline

    2. Find the class or classes you want to take and write down class information, including the CRN number. Do not register before the first day of the semester.

    3. Submit Senior Tuition Waiver to the UAA Office of the Bursar located in Eugene Short Hall.

    Please note these important facts about the Senior Citizen Tuition Waiver (SCTW):

    • SCTW waives tuition only.
    • SCTW is only accepted for classes registered for on or after the first day of the semester and on a space-available basis.
    • SCTW does not apply if the student has registered prior to the first day of instruction of the semester.
    • Seniors are responsible for any student and/or course fees associated with the course(s).
    • Payment must be submitted by the payment deadline to avoid late fee(s).
    • SCTW forms are only accepted until the last day of class for the term in question; submissions past the term end date will be denied.
    • Waivers may be submitted in person to the Office of the Bursar located in Eugene Short Hall or by email to uaa_bursar@alaska.edu. Docusign (electronic signature) is now accepted: Senior Tuition Waiver.
    • For more information, including eligibility and restrictions, see Regents Policy 05.10.080.B.
  • Promissory Note

    Promissory Notes may be used on a case-by-case basis to establish an up to 6-month payment arrangement for past due student accounts. Promissory Notes are subject to UAA Office of the Bursar approval. Completion of a Promissory Note does not release the financial hold preventing registration or prevent the PFD garnishment process.

    Promissory Note (DocuSign)

    Promissory Note (PDF)