Petition for Default Charge Fee Waiver
Kansas State University
Controllers Office
Name: _________________________________________________________________
Last First MI
Mailing Address: _________________________________________________________
_________________________________________________________
_________________________________________________________
City State Zip
Wildcat ID # ______________________ eMail : _______________
Date of Late Fee Assessment ___________ Amount ______________
Waiver requests must meet one or more of the following criteria to be considered:
A. Written documentation of an illness, accident, injury or other situation that kept you from
making payment or adjusting class schedules as required (ie., include note from doctor).
B. Written verification from a Financial Aid Officer that financial aid was delayed due to no fault
of the student. Please note: All students must follow through to make sure they have completed
each step of the application, acceptance and receipt of financial aid. Failure to do so will NOT
result in the waiver of default charges. The waiver in this case will only be granted if the
University did not process the request in a timely fashion.
C. Written verification of extenuating circumstances that left the student unable to make payment
or drop classes in a timely fashion.
Include with your documentation, a written explanation of how your situation fits one of the
above criteria. This waiver request must be made in writing. It cannot be done by phone or in
person.
Please Note: Payment must be received in the Cashiers Office by 3:00 PM on the due date.
MAILING A CHECK BY THE DUE DATE DOES NOT MEET REQUIREMENTS TO AVOID
A LATE FEE CHARGE. The University cannot be responsible for delays in the mail. Online
payments by e-check or credit card will be posted in real time. Please go to http://www.ksu.edu/pay for
more information.
Student Signature:____________________________ Date: ____________________
Please e-Mail or Fax to :
Default Charge Waiver Committee, at
latefees@ksu.edu - or -
Fax Number (785)532-6454
Forms may also be placed in the drop box on the door of 212 Anderson Hall.
Petition for Late Enrollment Fee Waiver
