ARP Authorization Form

The Higher Education Emergency Relief Fund III (HEERF III) is authorized by the American Rescue Plan (ARP) Act, signed into law by President Biden on March 11, 2021. These funds may be used for any component of the student’s cost of attendance or for emergency costs that arise due to coronavirus, such as tuition, food, housing, health care (including mental health care) or child care. This grant may also be used to pay tuition and fees and reduce or eliminate an outstanding unpaid balance or payment plan that occurred on or after March 13, 2020. To do this, you must provide authorization. The purpose of this form is for you to provide HCI with authorization if you choose to have it applied to your balance.

Signing this form is OPTIONAL and is NOT required. You are NOT required to use your grant to pay for tuition and fees and this authorization is not required for admission or continued enrollment at HCI College.

Student Directive

I understand that I am not obligated to authorize all or any portion of my ARP funds to be used toward my tuition and fee charges at HCI College. I understand that I may receive the full amount of my award paid directly to me. I request that my ARP funds be handled in the following manner:

HCI College to apply my ARP funds to my outstanding tuition and fee balance which occurred on or after March 13, 2020. Any grant funds in excess of my balance will be sent to me.
Please rescind my previous authorization to apply my ARP funds to my outstanding tuition and fees balance. I understand that this cancellation is not retroactive, HCI College will deliver any remaining ARP credit balance according to the revised choice.

I understand that I may change, cancel, or modify this decision regarding my ARP fund by completing and signing a new form and submitting the form to my campus Financial Services Officer, thereby rescinding all previous authorizations.

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