Extended Studies Payments By Check

  **Student Information**

Last Name

First Name

Middle Initial

Student ID Number

  -  - 

  **Course Information**
Course 1:

Registered?

Course Number / Section

Course Title

Tuition

Tech. Fee

© - Fee

Total Due

Yes

 

 

$ 

(If Applicable)

$ 

No

$ 

$ 

Course 2:

Registered?

Course Number / Section

Course Title

Tuition

Tech. Fee

© -  Fee

Total Due

Yes

 

 

$ 

(If Applicable)

$ 

No

$ 

$ 

Course 3:

Registered?

Course Number / Section

Course Title

Tuition

Tech. Fee

© -   Fee

Total Due

Yes

 

 

$ 

(If Applicable)

$ 

No

$ 

$ 

AMOUNT PAID: $ 
*** MAKE CHECKS PAYABLE TO U.C.C.S.
*** INCLUDE "EXTENDED STUDIES PAYMENT" AND STUDENT ID NUMBER ON YOUR CHECK.

COMPLETE ALL APPLICABLE FIELDS, PRINT THIS PAGE USING YOUR BROWSER'S PRINT OPTION
*** MAIL CHECK PAYMENT WITH THIS PAYMENT FORM TO:

UCCS/Campus Wide Ext. Studies
Extended Studies Payments
1420 Austin Bluffs Parkway
Colorado Springs, CO 80918

 

 

 

 

 

***Tuition Assistance/Third Party Billing***

If the company or government agency that you are employed with is assisting you with ALL or part of your tuition up front (Not applicable for post-semester reimbursement), please include a tuition assistance voucher from your company or government agency and include it with the payment form above.

*** - If there is a remaining balance left from your tuition assistance, please include your remaining payment with the tuition assistance voucher and payment form.

*** - Tuition assistance does not include employer reimbursement. You pay your tuition in full, then a tuition receipt can be given for post-semester tuition reimbursement.

If you have any questions concerning tuition assistance/ third-party billing, please call 1-800-990-8227, ext. 3399.

MAIL TUITION ASSISTANCE VOUCHERS/ PAYMENTS TO: 

ATTN: THIRD-PARTY BILLING
UNIVERSITY OF COLORADO AT COLORADO SPRINGS 
EXTENDED STUDIES - TUITION ASSISTANCE
P.O. Box 7150 MH1
COLORADO SPRINGS, CO 80933-7150