SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION
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1 INSTRUCTIONS SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION Wh shuld use this frm? This frm applies t all internatinal and dmestic fee paying students and all dmestic Cmmnwealth supprted students at the University f Adelaide wh withdraw frm a curse r curses after the curse census date, r wh have nt successfully cmpleted the requirements f a curse, and wh seek ne r mre f the fllwing: 1. a remissin f HECS-HELP debt and/r a repayment f any up-frnt Student Cntributin payments 2. a repayment f tuitin fee payment 3. a re-credit f FEE-HELP balance, due t special circumstances having prevented them frm successfully cmpleting their curse(s). Please Nte: In the event yur applicatin fr Special Circumstances Repayment, Remissin r Re-credit is apprved n repayment will be prvided fr the Student Services and Amenities Fee. Further there is n capacity under the Higher Educatin Supprt Act 2003 fr the prvider t remit an SA-HELP debt incurred by a student, therefre any SA-HELP debt at the due date will als remain. THRESHOLD CRITERIA In rder t be eligible t apply fr special circumstances repayment/remissin/re-credit, yu must first satisfy all f the fllwing threshld criteria: 1. Yu were enrlled in a unit (r units) f study with the University 2. Yu did nt cmplete the requirements f the unit(s) during the study perid 3. Yu apply in writing fr special circumstances repayment/remissin/re-credit 4. Yu apply within 12 mnths f the date yu withdrew frm yur curse(s), r if yu did nt withdraw frm yur curse(s), yur applicatin must reach Student Finance within 12 mnths frm the last day f the study perid in which yu were enrlled in the curse(s). These arrangements apply t bth standard and nn-standard study perids. A lack f knwledge r understanding f the requirements fr applying fr a re-credit, remissin and/r repayment is nt a valid reasn fr applying after the deadline. The 12-mnth timeframe is set by Cmmnwealth legislatin, and applicatins after this time cannt be cnsidered under nrmal cnditins. In the event an applicatin is submitted after the 12-mnth timeframe, the applicatin must als be accmpanied by further independent evidence prviding additinal supprt fr the medical/family/persnal/emplyment related reasns fr the late applicatin. The additinal evidence supprting the late applicatin, utside f the 12-mnth timeframe, will be assessed separately and distinctly t that prvided t supprt the special circumstances during the relevant study perid. Once yu have met the abve Threshld Criteria, yu must then satisfy the fllwing Special Circumstances criteria:
2 SPECIAL CIRCUMSTANCES CRITERIA What special circumstances are accepted? In all cases, special circumstances must have a significant impact n yu and yur ability t cmplete the curse(s) yu have undertaken t study. Therefre yu shuld demnstrate that the circumstances: (a) are beynd yur cntrl; are nt a result f yur actin r inactin; and are unusual, uncmmn r abnrmal; AND (b) ccur n r after the census date OR ccur befre the census date, but wrsen after that day, OR ccur befre the census date but the full effect r magnitude des nt becme apparent until n r after that day; AND (c) make it impracticable fr yu t cmplete the attendance and/r assessment requirements f yur curse(s). Please nte: Cnsideratin will be given t whether, at the time the circumstances emerged, it was already impracticable fr yu t meet the requirements f the curse(s). Fr example, where prgressive requirements relating t cmpulsry assessment and/r attendance at classes fr the curse(s) had nt been met at the time the circumstances emerged. Why d I need independent supprting dcumentatin? Yur applicatin will be cnsidered principally n the basis f yur independent dcumentatin t supprt yur claims. It is nt sufficient t prvide nly a persnal statement utlining yur special circumstances. Supprting independent dcumentatin must demnstrate hw yur circumstances affected yur ability t study, the date the special circumstances began r changed, and when it became apparent that yu culd nt cntinue and cmplete yur curse(s). Supprting dcumentatin may include: Fr medical reasns: Eg, where yur medical cnditin has changed t such an extent that yu are unable t cntinue studying: a statement frm a treating dctr Fr family/persnal reasns: Eg, death, severe medical prblems r unfreseen financial difficulties within a family s that it is unreasnable t expect yu t cntinue studying: a statement frm a dctr, cunsellr r independent member f the cmmunity (depending n the individual circumstances invlved) Fr emplyment-related reasns: Eg, where yur emplyment status r arrangements have changed s that yu cannt cntinue studying: a statement frm yur emplyer. Supprting dcumentatin must be signed riginal dcuments, i.e. nt cpies r faxes, and shuld be n apprpriate cmpany r business letterhead. Medical dcumentatin must include a relevant Medicare prvider number. Supprting dcumentatin must be in English, r if in anther language, must be accmpanied by an accredited translatin int English. In accrdance with Cmmnwealth regulatins, applicatins fr remissin f a HECS r PELS debt incurred prir t 2005 cannt be accepted. These applicatins were administered by the Cmmnwealth Department f Educatin under the Higher Educatin Funding Act 1988 (HEFA).The ldgement deadline fr pre-2005 applicatins was 12 mnths frm the date f withdrawal frm a curse f study, and this deadline has lapsed.
3 What happens t my applicatin after it has been ldged with Student Finance? Yu will receive a letter cnfirming the receipt f yur applicatin and case number. Yu will be advised f the utcme f yur applicatin within 28 days f the receipt f yur applicatin and/r supprting evidence. If further infrmatin is required frm yu, it will be requested via yur student . If yu are nt satisfied with this decisin, yu will be affrded the pprtunity t request a review f yur case, and will be advised hw t request this in the letter yu receive advising yu the utcme f yur case (see Student Finance website at under Review and Appeal fr mre infrmatin). If yu are a Cmmnwealth supprted student and yur applicatin fr remissin f HECS-HELP debt and/r repayment f upfrnt Student Cntributin payment is successful, the University will ntify the Cmmnwealth Department f Educatin with the necessary details t enable yur HECS-HELP debt t be remved r reduced as applicable. Alternatively and/r additinally, yu will receive a repayment f any upfrnt payments made fr the curses t which yur successful applicatin relates. The repayment will be made t yur nminated bank accunt. If yu are an internatinal r dmestic fee paying student, and yur applicatin fr a repayment f tuitin fees is successful, yu will receive a repayment fr payments made fr the curses t which yur successful applicatin relates. Refund payments are nrmally made directly int a bank accunt (EFT) using yur nminated bank accunt details. All refunds are made in Australian dllars and are payable t the yur nminated accunt, unless yu are supprted by a recgnised third party spnsr and that spnsr is entitled t the refund [ESOS Act, s.28(2)]. Please nte: we may be required t prcess yur refund t the riginal credit card, hwever bank details are required t ensure payment can be finalised. If yu are a dmestic fee paying student and deferred yur fees t FEE-HELP, and yur applicatin fr re-credit f FEE-HELP balance is successful, the University will ntify the Cmmnwealth Department f Educatin, with the necessary details t enable yur FEE-HELP balance t be re-credited, and yur FEE-HELP debt t be remved r reduced as applicable. Privacy Persnal infrmatin cllected n this frm r supplied by yu t the University is treated in the strictest cnfidence. The infrmatin cllected is used slely fr the purpse f assisting the University t make an infrmed decisin n yur case. Permissin t cnsult Cunselling & Disability Services Smetimes it may be helpful t cnsult staff in Cunselling & Disability Services t establish the nature and severity f a student s special circumstances. Students have the ptin n their applicatin frm (pages 3 and 4) t indicate whether they wish this cnsultatin t ccur. Additinal Enquiries: All additinal enquiries shuld be directed t: studentfinance@adelaide.edu.au Hw d I apply? Fill in the fllwing applicatin frm and send it (with riginal supprting evidence) t: Manager, Student Finance Student Administratin UNIVERSITY OF ADELAIDE SA 5005 AUSTRALIA
4 SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION Please indicate whether yu are applying fr a: (Yu may be seeking mre than ne.) Case Reference Number: Office Use Only Remissin f HECS-HELP debt Repayment f up-frnt Student Cntributin payment Tuitin Fee repayment Re-credit f FEE-HELP balance 1 Yur student ID number 2 Yur full name Title (eg. Dr, Mr, Mrs, Ms, Miss, Mx) Family name Given names 3 Yur address Cuntry Pstcde 4 Name f academic prgram(s) 5 Study perid and year fr which remissin, re-credit and/r repayment is sught Study Perid Year 6 Date f withdrawal (if applicable) 7 Prvide details f the curses fr which the remissin, re-credit and/r repayment is sught Curse Name Curse cde Study Perid Year Units
5 8 SPECIAL CIRCUMSTANCES Yu must prvide sufficient details explaining hw yur circumstances were beynd yur cntrl, hw yur circumstances prevented yu frm cntinuing yur studies and hw yur circumstances changed after the census date If yu need mre space, please attach a separate sheet. 9 T supprt yur case, yu must prvide the fllwing riginal dcumentatin (in English r with accredited English translatin) frm a dctr, cunsellr, emplyer r independent member f the cmmunity which cvers: The date yur circumstances began If yur circumstances changed after the census date(s), the date they changed and t what extent Hw yur circumstance(s) affected yur ability t study When it became apparent that yu culd nt cntinue r cmplete yur studies Nte: Medical dcumentatin must display a relevant Medicare prvider number fr the medical prfessinal. Attached T fllw within 28 days 10 Permissin t cnsult Cunselling & Disability Services (Optinal) I cnsent t the Review Officer cnsulting relevant staff in Cunselling & Disability Services t btain further infrmatin abut my special circumstances. Yes N 11 Repayment details (Cmplete ONLY if yu made an upfrnt payment) In the event yur applicatin is successful, yu may chse t receive a repayment, r have the funds credited t yur student accunt. Repayments will be prcessed either via Electrnic Funds Transfer t yur nminated bank accunt, r t the riginal credit card frm which payment was riginally received. Regardless f which methd, bank details are required t ensure payment can be finalised. Please select yur preferred methd (Chse One): Electrnic Funds Transfer (EFT) int yur nminated bank accunt (cmplete bank details belw) Credit funds t yur student accunt t apply t future study related charges BSB N: Accunt N: Accunt Hlder Name: Bank Name: Branch address (nly fr verseas banks): SWIFT Cde (and IBAN if applicable) - nly fr verseas banks: 12 Declaratin I declare that the infrmatin I have given n this applicatin is crrect. Signature Date Send this frm t: Manager, Student Finance Student Administratin UNIVERSITY OF ADELAIDE SA 5005 AUSTRALIA
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