Forms

• Change Fund Accountability Forms
  • Department form used to verify funds.
• Change Fund Custodian Agreement
  • Agreement all custodians must complete acknowledging their responsibilities in the oversight of a change fund. Any changes to who is operating with a change fund require immediate notification to the Office of the Bursar Accountant.
• Change Fund Steward Roster
  • Custodians are required to provide a list of all individuals who operate with their appropriated change fund. Any changes to the roster require immediate notification to the Office of the Bursar Accountant.
• Direct Deposit
  • Login using your MySLCC username and password and click on Electronic Refunds under My Profile Setup.
• Garnishment Waiver (Utah State Income Tax Refunds)
  • Releases individual Utah State Income Tax Refunds to pay debt to Salt Lake Community College. This form waives the 21-day waiting period for garnishment of the state income tax refund which allows for any other additional refund, if any, to be returned to the student in a faster process.
• Late Fee Appeal Form
  • $50 Late fee appeal is reviewed, granted, or denied by Cashier Services for exceptional circumstances. Please carefully review the attached form for guidance on what is deemed exceptional circumstances and the supporting documentation required. Appeals are generally processed within 7 - 10 business days; however, processing times may vary depending on high volume periods and the nature of the appeal.
• Request to Reverse TPP Late Fee Form
  • This is a request to reverse the $15 tuition payment plan late fee due to eligible circumstances. It is reviewed, then granted or denied by the Accounts Receivable Department.
• Stop Payment Request Form
  • Your check was mailed two weeks prior but has not yet been received.
• Student Consent for Release of Records
  • Signing this form gives cashiers permission to release the student's information over the phone or to a third party.
• Tuition Exemption/Waiver and Instructions
  • Use if you are in one of the following groups: Adjunct Faculty or Dependent; Part-time Staff; Retired Faculty/Staff or Dependent; Early Retiree or Dependent; Board of Trustees Member or Dependent; SLCC Assistant Attorney General or Dependent. The Division Associate Dean or department supervisor verifies eligibility and signs the Exemption/Waiver authorization. The Human Resources Benefits Manager verifies part-time staff eligibility and signs the Exemption/Waiver form. Employees should follow scheduled payment deadlines to avoid late fees and penalties.
• Tuition Payment Plan
  • Pay tuition costs throughout the semester in three/four monthly payments. A $30 non-refundable fee applies.
• Tuition Payment Plan (Printable)
  • Printable application for the Tuition Payment Plan. This form may only be used by those students who are under the age of 18 or in Bankruptcy. Please apply online through MySLCC if you do not meet one of these criteria.
• Wireless Credit Card Terminal Guide
  • The Office of the Bursar has wireless credit card terminals which can be checked out by departments and clubs for SLCC sponsored events. This guide provides details on how to properly operate the device.