Payment Plan Adjustment Form

By submitting this form, I authorize the George Washington University to adjust or cancel my current payment plan as requested below. I understand that this form must be submitted to and received by the George Washington University no less than 3 business days prior to the due date of a scheduled installment for adjustments or cancelations take effect by the next scheduled installment due date. Requests for payment plan adjustments and cancellations can only be submitted by the student or authorized user who established the payment plan. Please allow 1-3 business days for processing.

THIS FORM CANNOT BE USED TO ADJUST THE CURRENT SEMESTER PAYMENT PLAN BALANCE ON OR AFTER THE FIRST DAY OF THE SEMESTER.

Semester *
Action Requested *
I request that the George Washington University take the following action to my monthly payment plan:
Adjustment Agreement *
I understand that the requested "New Plan Balance" amount will be equally divided by the number of scheduled installments that remain unpaid at the time of the submission of this form. I understand that the submission of the form does not change the due date of the remaining scheduled installments.
(Do not include $ or , - Example: 1500.00)
Cancellation Agreement *
I understand that the cancellation of the payment plan will result in the removal of all scheduled installments associated with the current payment plan, and that I am responsible for submitting payment for my full student account balance by the first day of the associated semester or the date the plan is canceled, whichever is later. I understand that by canceling the payment plan, the student account is now eligible for late payment fees and finance charges on any outstanding balance after the payment due date.