Financial Responsibility AgreementFinancial Responsibility Agreement • April 5th, 2024
When you initially register as a student at Texas Tech University, Texas Tech University Health Sciences Center or Texas Tech University Health Sciences Center at El Paso, you establish an account with the University through its Student Business Services Office. This agreement is a statement of the terms and conditions of that account, as well as a statement of your rights and responsibilities regarding that account. We recommend that you keep this agreement for your own reference. In the agreement, the words "we," "our," "us," "Texas Tech" and "University" refer to Texas Tech University, Texas Tech University Health Sciences Center or Texas Tech University Health Sciences Center at El Paso. The words "you," "your" and "student" refer to you, the student. The word "agreement" refers to this Agreement and Disclosure Statement.
Financial Responsibility Agreement 2024-2025Financial Responsibility Agreement • January 24th, 2024
All Tuition payments will be made through FACTS Tuition Management Company. Payments through FACTS Tuition must be made either through an automatic bank-to-bank transfer of funds from an authorized checking or savings account or by credit card. Please note that there is a 2.85% convenience fee for any credit card payments made. FACTS currently accepts MasterCard, American Express, and Discover.
Financial Responsibility AgreementFinancial Responsibility Agreement • October 16th, 2024
At the time of registration for any semester or term, every student is required to accept the Texas A&M University- Corpus Christi (TAMUCC) Financial Responsibility Agreement, the terms of which follow below. If the agreement is declined, registration will not be allowed.
Terms of Agreement Financial ResponsibilityFinancial Responsibility Agreement • January 17th, 2024
Financial Responsibility AgreementFinancial Responsibility Agreement • June 4th, 2020
FINANCIAL RESPONSIBILITY AGREEMENT SELF PAY or NON-APPROVED HOSPITAL SERVICESFinancial Responsibility Agreement • April 15th, 2024
The Lindner Center of HOPE (LCOH) appreciates the confidence you have shown in choosing us to provide health care services to you or a patient for whom you have responsibility. Our patient and family-centered treatment philosophy requires that we openly communicate our policies and expectations about payment for our services before treatment is initiated. Please take a moment to familiarize yourself with these policies.
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • July 28th, 2022
The patient is expected to present an insurance card at each visit. All co-payments and past due balances are due at time of check-in unless previous arrangements have been made with a billing coordinator. We accept cash, check or credit cards. Absolutely no post-dated checks will be accepted.
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • May 9th, 2022
Fort Hays State University Financial Responsibility AgreementFinancial Responsibility Agreement • January 29th, 2024
University of Denver FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • September 21st, 2015 • Colorado
By agreeing to the terms and conditions of this Financial Responsibility Agreement (“Agreement”), I understand and agree to accept full financial responsibility for the payment of tuition and all other applicable fees assessed based upon my registration to attend classes at the University of Denver owned and operated by Colorado Seminary (“DU”) or my receipt of any service from DU in connection therewith. I further understand and agree that tuition and fees will be added to an account with DU which I automatically establish by registering for classes (“Student Account”). This Agreement covers my financial obligations to DU for as long as I continue to incur financial obligations to DU by registering to attend DU, receive services from DU and/or have an outstanding balance on my Student Account.
ContractFinancial Responsibility Agreement • January 7th, 2021
At the time of registration for any semester or term, every student is required to accept the Texas A&M University–Kingsville (TAMUK) Financial Responsibility Agreement, the terms of which follow below. If the agreement is declined, registration will not be allowed.
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • June 15th, 2021 • Connecticut
Financial Responsibility Agreement FAQsFinancial Responsibility Agreement • March 31st, 2021
This statement outlines the terms and conditions of the financial responsibilities and obligations associated with attending The University of Houston-Downtown. UHD Financial Responsibility Agreement: https://www.uhd.edu/student-resources/cashiers/Documents/financial-agreement.pdf
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • June 9th, 2021 • Connecticut
Financial PolicyFinancial Responsibility Agreement • August 5th, 2020
Unless other arrangements have been made in advance by either you or your health insurance carrier, full payment is due at the time of service.
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • March 11th, 2022
• Special High School applicants (admission option for students outside of PSEO, for students that have not participated in PSEO or CE due to eligibility or other factors)
SUNY Broome Community College Financial Responsibility AgreementFinancial Responsibility Agreement • November 22nd, 2019
Payment of Fees/Promise to Pay: I understand that when I register for any class at SUNY Broome Community College or receive any service from SUNY Broome Community College, I accept full responsibility to pay all tuition, fees and other associated costs assessed as a result of my registration and/or receipt of services. I further understand and agree that my registration and acceptance of these terms constitutes a promissory note agreement (i.e., a financial obligation in the form of an educational loan as defined by the U.S. Bankruptcy Code at 11 U.S.C. (523(a)(8)) in which SUNY Broome Community College is providing me educational services, deferring some or all of my payment obligation for those services, and I promise to pay for all assessed tuition, fees and other associated costs by the published or assigned due date.
PATIENT FINANCIAL RESPONSIBILITY AGREEMENT FOR SERVICES NOT COVERED BY INSURANCE:Financial Responsibility Agreement • April 27th, 2022
Lindner Center of HOPE Professional Associates (LCOHPA) appreciates the confidence you have shown in choosing us to provide health care services to you or a patient for whom you have responsibility. Our patient and family-centered treatment philosophy requires that we openly communicate our policies and expectations about payment for our services before treatment is initiated. Please take a moment to familiarize yourself with these policies.
FINANCIAL RESPONSIBILITY AGREEMENT SELF PAY or NON-APPROVED HOSPITAL SERVICESFinancial Responsibility Agreement • October 20th, 2021
The Lindner Center of HOPE (LCOH) appreciates the confidence you have shown in choosing us to provide health care services to you or a patient for whom you have responsibility. Our patient and family-centered treatment philosophy requires that we openly communicate our policies and expectations about payment for our services before treatment is initiated. Please take a moment to familiarize yourself with these policies.
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • December 25th, 2020
The Children’s Learning Center at Mitchell College (“The Children’s Learning Center”), located at Chappell Cottage in the Mitchell Woods, is open Monday through Friday. The Center observes an academic year calendar, which includes holidays and academic year closures. Current calendar information can be found on The Center’s website at http://mitchell.edu/childrens-learning-center/. It is important to check this website for updates, news and calendar information related to your child’s enrollment at The Children’s Learning Center.
Summer 2020 Financial Responsibility AgreementFinancial Responsibility Agreement • June 4th, 2020
Mississippi Valley State University Financial Responsibility AgreementFinancial Responsibility Agreement • March 14th, 2024
• I understand when I register for any class at Mississippi Valley State University or receive any service from the Mississippi Valley State University; I accept full responsibility to pay all tuition, fees, and other associated costs assessed as a result of my registration and/or receipt of services. I further understand and agree my registration and acceptance of these terms constitutes a contractual agreement (i.e., a financial obligation in the form of an educational loan as defined by the U.S. Bankruptcy Code at 11
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • May 5th, 2023 • Illinois
FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • March 17th, 2022
Financial Responsibility AgreementFinancial Responsibility Agreement • November 30th, 2022
Financial Responsibility AgreementFinancial Responsibility Agreement • October 21st, 2022
Responsibility. I understand I am responsible for all payment obligations arising out of my treatment and care and I guarantee payment for these services. At each visit, please be sure we have your current demographic and insurance information. It is your responsibility to provide us with this information, and update it if it changes. You will be responsible for any charges billed to the wrong insurance carrier as a result of not providing accurate insurance information. I understand I am responsible for any deductibles, co-payments, co-insurance or any other patient responsibility amounts indicated by my insurance carrier or for any services not covered by my insurance. We participate in most insurance plans, if your insurance is not a plan we participate in, you will be self-pay and payment plans are available.
Financial Responsibility AgreementFinancial Responsibility Agreement • July 22nd, 2022
HAWAI’I PACIFIC UNIVERSITY -- FINANCIAL RESPONSIBILITY AGREEMENTFinancial Responsibility Agreement • June 22nd, 2023
Under HPU’s Registration Policies and other University policies, I am responsible for paying my portion of tuition and fees, along with all other University charges and costs then due, by each term’s tuition payment deadline. If there is a difference between expected and actual financial aid, I am responsible for paying any balance on my account resulting from this difference promptly. HPU’s Tuition and Fee Schedule (a full listing of student tuition and fee charges) is available on our website: https://www.hpu.edu/tuition. Tuition and fees are subject to change, and this website will host the most up-to-date information. Tuition payment deadlines are always several weeks before the start of the semester, and are published in the Academic Calendar (https://www.hpu.edu/registrar/academic-calendar.html).
2021/2022 Financial Responsibility AgreementFinancial Responsibility Agreement • August 14th, 2021
As part of becoming a Lee Green Basketball club member, it is required for all families to review and sign a Financial Responsibility Agreement document.
Financial Responsibility AgreementFinancial Responsibility Agreement • August 2nd, 2018
NCS uses FACTS Management Company in order to process all tuition payments. Each NCS family should access the FACTS Management Company website and enroll in a tuition payment plan. The details for each of the payment plan options are as follows:
FINANCIAL RESPONSIBILITY AGREEMENT PLEASE SIGN AND RETURN TO THE BURSAR’S OFFICEFinancial Responsibility Agreement • August 10th, 2021
Financial Responsibility AgreementFinancial Responsibility Agreement • March 22nd, 2024
Financial Responsibility AgreementFinancial Responsibility Agreement • June 2nd, 2022
Financial Responsibility AgreementFinancial Responsibility Agreement • October 22nd, 2014
_ When you initially register as a student at Texas Tech University or Texas Tech University Health Sciences Center, you establish an account with the University through its Student Business Services Office. This agreement is a statement of the terms and conditions of that account, as well as a statement of your rights and responsibilities regarding that account. We recommend that you keep this agreement for your own reference. In the agreement, the words "we," "our," "us," "Texas Tech" and "University" refer to Texas Tech University or Texas Tech University Health Sciences Center. The words "you," "your" and "student" refer to you, the student. The word "agreement" refers to this Agreement and Disclosure Statement.
Financial Responsibility AgreementFinancial Responsibility Agreement • January 5th, 2022
PAYMENT OF FEES/PROMISE TO PAY I understand that when I register for any class at Dunwoody College of Technology (DCT) or receive any service from DCT, I accept full responsibility to pay all tuition, fees and other associated costs assessed as a result of my registration and/or receipt of services. I further understand and agree that my registration and acceptance of these terms constitutes a promissory note agreement (i.e., a financial obligation in the form of an educational loan as defined by the U.S. Bankruptcy Code at 11 U.S.C. §523(a)(8)) in which DCT is providing me educational services, deferring some or all of my payment obligation for those services, and I promise to pay for all assessed tuition, fees and other associated costs by the published or assigned due date or enrollment in the institutional payment plan.) I further understand that my failure to attend class or receive a DCT Billing Statement (bill) does not absolve me of my financial responsibility as described abov
