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The amount on the RFF must correspond with the individual refunds submitted. For example, if funds for TEXAS Grant, TEOG, and TCWS are all being returned, three separate RFFs will need to be submitted and three refunds should be processed.

Date: 11-12-2019 FICE Code: Institution:
Contact Information
Position Name Email Phone
Financial Aid Director
Reporting Official
Business Office Contact
 
Award Year:     
 
Program:     
 
Grant programs require a breakdown in type of funds.

Grant Program
Type of Funds Amount* Number of student awards being returned**
Initial
Renewal
Total
 
Special Program
Amount* Number student awards being refunded**

* Enter whole dollar amounts only.

** Do not enter a student count for a partial refund

Detailed Refund Explanation Required
Date Picker
Certifying Name/Title Date
 
Summary
Award Year
Program/PCA
Amount
Total Student Count