Cal Grant B Access Authorization Form by irs18267

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									                                                Name of Student Financial Aid Applicant (please print):
Return to:
Office of Financial Aid
301 Platt Boulevard                              Last                   First                  Middle
Claremont, CA 91711
Office: (909) 621-8055                           Social Security Number:
Fax: (909) 607-7046
Email : financial_aid@hmc.edu


                      Cal Grant B Access Authorization Form
Dear Cal Grant B Recipient:

According to the California Student Aid Commission regulations, Harvey Mudd College must
have a student’s written authorization to credit Cal Grant B Access funds to the student’s account.
Without this authorization, Harvey Mudd College must release these funds directly to the student.
A student has the ability to reverse his or her authorization prior to the disbursement of funds and
receive the Cal Grant B Access funds directly. Cal Grant B Access funds will be credited to your
student account or released directly to you once your award has been confirmed.

Read and complete the following:

I have read and understand the explanation above given by Harvey Mudd College’s Office of
Financial Aid regarding my Cal Grant B Access funds.

Check only one option:

        I authorize the Student Accounts Office at Harvey Mudd College to apply my Cal Grant
        B Access funds to my student account. I understand this authorization is valid until I
        rescind it in writing.


        I do not authorize the Student Accounts Office at Harvey Mudd College to apply my
        Cal Grant B Access funds to my student account. Please release the Cal Grant B Access
        funds directly to me.




                   Signature                                                  Date

								
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