Completed Adobe PDF forms may be faxed to Tulane Accounts Receivable at (504) 862-8758 or mailed to Tulane University, Accounts Receivable #1550, 6823 St. Charles Ave. Suite 327, New Orleans, LA 70118.
Adobe Reader is required to view the forms below.
Forms
In accordance with the Family Education Rights and Privacy Act of 1974 (FERPA), also known as the Buckley Amendment, Tulane University does not disclose student records without prior consent of the student. Your signature on this release form permits the University to discuss records as indicated with the person(s) names. Review entire policy here: http://registrar.tulane.edu/privacy-policies-forms
To release Accounts Receivable / Billing records, please download the FERPA Release Form and submit the completed form to Accounts Receivable, in person and with photo ID.
Remote campus and distance learning students may fax or mail the completed form to Accounts Receivable, along with a photocopy of picture ID.
Parent PLUS - Release of Title IV Funds (PDF)
To have excess Parent PLUS loan funds applied to miscellaneous charges on the student's account or refunded to the student, please complete and return the Release of PLUS Loan Funds form.
Release of Title IV Funds (PDF)
To have the excess federal financial aid funds applied to miscellaneous charges on the student's account, please complete and return the Release of Title IV Funds form.
Payroll Deduction Forms
If you are an employee of the University, and would like to pay your Account Receivable balance with automatic deduction(s) from your payroll, please complete and return the appropriate Payroll Deduction form. Options available are Bi-weekly, Monthly or One Time Only payroll deductions.
Payroll Deduction Authorization (PDF)
If you are a graduate level student receiving bi-weekly stipends, and would like to pay your Student Health Insurance with automatic deduction(s) from your payroll, please complete and return the Payroll Deduction Graduate Student Insurance form. Payroll deductions will be calculated and distributed evenly over the pay periods remaining from the time of implementation, to and including the April 2, 2021 payroll.
Payroll Deduction Graduate Student Insurance (PDF)
Waive or Enroll Health Insurance
The University requires that all full-time students carry adequate medical insurance while attending Tulane University. This requirement must be met each year during the Fall Semester by either enrolling in the university-sponsored Student Medical Insurance Plan or declining coverage by completing the on-line waiver form.
Request for Student's Taxpayer Identification Number W-9s
Use this form to provide your social security number to Tulane University. Your social security number is required if you wish to receive a Form 1098T statement. Please clearly write your 9-digit Tulane ID number in Part III as the Requester's Name.
Documents
Agreement & Disclosure Statement
The Agreement and Disclosure Statement explains the terms and conditions of Tulane University Accounts Receivable accounts. The student and anyone accepting financial responsibility for an account should carefully read this document.
