Authorization to Return a Refund

Use this form to voluntarily return all or a part of your financial aid refund to lower your future loan debt. You may also use this form to return Federal TEACH Grant funds.
*This form must be accompanied by a payment.
Alternatively, students must indicate the amount they wish to return to the lender/TEACH Grant from their student account, or students may return an original NSU paper refund check received (copies will not be accepted).

Forms without corresponding payments/credits will not be processed. *
  • In person at the One-Stop Shop in the Horvitz Administration Building. Bring a printed copy of this form that will be emailed to you upon submission.
  • By mail to: NSU, Bursar's Office, 3300 S. University Drive, Fort Lauderdale, FL 33328-2004. Include both your check and a printed copy of this form that will be emailed to you upon submission.
  • via NSU eBill
  • via SharkLink
  • by calling ext. (954) 262-5200 (Mon.-Fri: 8:30 a.m. to 5:00 p.m.)

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

User Information

 
 

Authorizations

Enter the date and amount of your payment made to your student account or the date and amount of the refund you are returning. This information can be found in NSU eBill. Click “View Activity” and select the appropriate term to identify the refund check date and amount (Code 6004).

 
$
 

Instructions for Returning Funds

Select the types of loans/grants you wish to be returned. Indicate terms and amounts for each. Please note that the cumulative amount must equal the total entered above. For Direct Loans, cents will be rounded to the next dollar upon return.

Attestations

Please select all required boxes in order to continue!

Comments

Please verify that you have completed all required fields and are not a robot before submitting this form.