The University Billing offers a variety of services that require written consent or documentation. As a convenience to our users, we have included these forms on our web site to facilitate their completion. Simply complete, sign and print the correct form, and submit to the UI Service Center - University Billing, 2700 University Capitol Centre, Iowa City, Iowa 52242.

Adobe Acrobat Reader is required to view and print the forms below. Click here to download it for free.

Student Forms Available

• Authorization for the Deduction of Miscellaneous Charges from Financial Aid.pdf
  For application of financial aid refunds towards current charges billed.
• Late Payment Fee Appeal Form 
  For an appeal of the Late Payment Fee
• Deferred Fee Appeal Form
  For an appeal of the Deferred Fee finance charge
• Under 18 Charging Consent Form
  Parent Authorization to allow use of ID Charging privileges for students under 18 years of age.
• Student Agreement-UI Billing and Payment Terms and Conditions.pdf
  Parental agreement form for students under 18 years of age.
• Electronic Billing Exemption Appeal
  To be considered for an exemption from electronic billing which is mandatory for all students.
• Employer Deferment Request Process
  Employer Deferment can now be requested online through MyUI. Please follow these instructions to request Employer Deferment. 
• Request for 3rd Party Billing Form.pdf
  Students who have support from a third party are required to complete this form and turn in to the Billing Office.
• 2023-2024 Scholarship Check Submission Form

Note: Authorization for direct deposit of financial aid can now be authorized via MyUI (under Financial Aid & Billing, select Bank Information-Refund Account). Students may also set up automated payment plans directly from this location.

Non-Student Forms

• Automatic Withdrawal Authorization.pdf For an automatic withdrawal from your checking or savings account to cover billed expenses. (Only for individuals who cannot use MyUI or Employee Self Service to setup automatic payments.)
• Parent PLUS Loan Direct Deposit Authorization.pdf