REFUND CHECK CANCELATION/STOP PAYMENT FORM


If you have lost or misplaced a paper refund check issued to you from your NSU student account, use this form to cancel the check and to provide instructions on what should happen with the cancelled funds.
To view the details of your refund, log in to NSU eBill and click “View Activity.” Select the appropriate term to identify the refund check date and amount (Code 6004).



Note: All fields marked with a * below are required. All other fields are optional.

User Information





Authorizations

Enter the date and amount of the refund check you are referencing. This information can be found in NSU eBill .

$


not received, but my preferred mailing address in SharkLink is correct.
mailed to the wrong address. I have updated my mailing address in SharkLink .
(Update your preferred mailing address on the Personal Information page in Self-Service Banner . Click on the pencil icon to make your updates.)
received but later lost or destroyed.
Other

By submitting this form, I authorize NSU to cancel the refund check issued/processed on in the amount of

Issue a new refund check to me in the amount of:
Please note, NSU reserves the right to apply cancelled refund check funds to any outstanding balances remaining on a student's account. A maximum of $200 of current term federal aid funds may be applied to prior term charges.
Use the refund check funds to pay my balance due, and...


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