Late Fee Waiver Request

Please Note: Failure to pay your bill in full and/or failure to complete your Anticipated Resources page in MaineStreet by the due date of your bill will not be justification to have a late fee waived in future semesters.

"*" indicates required fields

Term*

Term to which the late fee was applied.

Calendar Year*

Year to which the late fee was applied.

Has the net balance for the term indicated above (other than the late fee) been paid in full?*

**Please check your account balance before submitting this request. The account balance must be paid in full in order for the waiver request to be considered.**

Yes

Reason(s) for Late Fee Waiver Request*

Please be specific with any other information that you feel is pertinent to your request.

Student Name*

First Last

Student ID Number*

Student Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Email*

ReCaptcha

Name

This field is for validation purposes and should be left unchanged.