Term of Authorization. Any authorization herein is effective for the period of time the student is enrolled in consecutive award years at ICC, unless otherwise modified or cancelled by the student. 

Modification or Cancellation. The student may cancel or modify the authorization of "Other Charges" listed herein at any time by notifying the Office of Student Financial Aid in writing by mail to 1057 W. College Ave., Independence, KS 67301 or resubmitting this online form, publicly available at www.indycc.edu/financial-aid/forms. Any cancellation or modification is effective beginning the date ICC receives the notice. Any authorization in effect prior to the receipt of notice will remain in effect to pay for authorized charges incurred prior to the date of receipt of the notice. If the student cancels an authorization to hold excess funds, the funds must be paid directly to the student as soon as possible but not later than 14 days after the school receives the notice.

Authorization for Other Charges. I authorize ICC to pay for the following allowable educationally related charges using Federal Student Aid (FSA) funds:

• Student Accident Insurance (on-campus residents);
• Student Health Fee;
• Student Athlete Fee;
• Non-returned textbook charge(s);
• Late return bookstore fee(s);
• Library fine(s) and fee(s);
• Athletic equipment fine(s) and fee(s);
• Payment Plan fee;
• Graduation fee;
• Vet Nursing fee;
• Student ID Replacement fee

A student may refuse to authorize any individual item list above. Notice of individual refusals may be sent to the Office of Student Financial Aid at financialaid@indycc.edu or at the mailing address above.

Term of Authorization. Any authorization herein is effective for the period of time the student is enrolled in consecutive award years at ICC, unless otherwise modified or cancelled by the student. 

Modification or Cancellation. The student may cancel or modify the authorization of "Other Charges" listed herein at any time by notifying the Office of Student Financial Aid in writing by mail to 1057 W. College Ave., Independence, KS 67301 or resubmitting this online form, publicly available at www.indycc.edu/financial-aid/forms. Any cancellation or modification is effective beginning the date ICC receives the notice. Any authorization in effect prior to the receipt of notice will remain in effect to pay for authorized charges incurred prior to the date of receipt of the notice. If the student cancels an authorization to hold excess funds, the funds must be paid directly to the student as soon as possible but not later than 14 days after the school receives the notice.

Authorization for Other Charges. I authorize ICC to pay up to $200 for the following allowable educationally related charges using Federal Student Aid (FSA) funds for prior award year:

• Student Accident Insurance (on-campus residents);
• Student Health Fee;
• Student Athlete Fee;
• Non-returned textbook charge(s);
• Late return bookstore fee(s);
• Library fine(s) and fee(s);
• Athletic equipment fine(s) and fee(s);
• Payment Plan fee;
• Graduation fee;
• Vet Nursing fee;
• Student ID Replacement fee

A student may refuse to authorize any individual item list above. Notice of individual refusals may be sent to the Office of Student Financial Aid at financialaid@indycc.edu or at the mailing address above.