Forms: Graduate & Professional Students
Guarantor Authorization and Debt Repayment Agreement:
This document is used to add a guarantor(s) to an individual student account and is required in order to disclose any financial information to anyone other than the student. Please scan and email the signed form to firstname.lastname@example.org.
Student Health Insurance Plan (SHIP)
Visit https://www.vanderbilt.edu/studentcarenetwork/waive/ for important information about waiving the Student Health Insurance Plan, including waiver policies, criteria for comparable coverage, and important deadlines.
Visit https://www.vanderbilt.edu/studentcarenetwork/your-health-insurance/enroll/ to learn about when you and/or your dependent(s) can petition to add coverage under SHIP based on a qualifying life event or during the open enrollment period.
Third Party Billing
If a third party (i.e. outside agency, corporation or State Prepaid Tuition Plan) will be paying all or part of your tuition and fees, and the third party requires a bill or invoice to be mailed directly from the Office of Student Accounts, a written authorization must be received from the third party thirty days prior to the beginning of classes. Please note: The University requires a Financial Information Release Form completed by each student requiring Third Party Billing.
Students who have a credit balance on their student account and have requested the credit be retained in the account may submit a written request for those funds to be refunded to them. If you have requested your Title IV funds to be retained in your student account, you may also request a refund by simply sending an e-mail request to email@example.com.
Replace Lost Check
If you need to replace a lost, destroyed, or stale-dated refund check you must complete the replacement form: