Diamond Dollars phone 215-204-3140
1910 Liacouras Walk fax 215-204-3145
Suite 202 email firstname.lastname@example.org
Philadelphia, PA 19122 web http://diamonddollars.temple.edu
FINANCIAL AID REFUND AUTHORIZATION FORM -DIAMOND DOLLARS
As a student with Financial Aid Awards, which produce a refund, you can have all or a portion
of your refund applied to your Diamond Dollars account. Fill out the authorization form and
funds can be available before the start of the semester.
Please evaluate your needs carefully. Each request, once added to your tuition account, cannot
be changed or removed. There are no cash withdrawals or refunds available. Your request may
not exceed your expected refund amount.
Summer Sessions require a separate form for each session.
If a request is processed after the first tuition billing, be aware that installment
and/or late fees may be assessed.
Funds placed into your Diamond Dollars account, less any money spent, carry over, and remain
available throughout your stay at the University. Any Diamond Dollars remaining in your
account when leaving the University will be refunded upon written request.
After reviewing your needs, complete the authorization form below and return it to the Diamond
Dollars Office. If you prefer, you may also fax the completed form to 215-204-3145.
FINANCIAL AID REFUND AUTHORIZATION FOR DIAMOND DOLLARS
Name__________________________________________ TUid _____-____-_____
I authorize Temple University to apply the amount detailed below from my Financial
Aid refund to my Diamond Dollars account. (Circle or write in an amount)
200.00 300.00 400.00 500.00 Other _____.___
to my current academic semester only.