E-Transfer Request

E-Transfer Request Form
Use this form to request an e-transfer of funds that are on your student ledger.

To access your ledger, login to the Student Portal and navigate to "My Ledger". The Overall Balance shows what you owe, or what credit your account has.
- If your Overall Balance is a negative number, you have a credit that can potentially be transferred to you.
- If your Overall Balance is a positive number, you have a debit (still owe money) and are not eligible for a transfer of funds.
Student ID Number
Name

First Name (As Appears With Bank)Last Name (As Appears With Bank)
Burman E-Mail
example@example.com
E-Mail Used With Bank

Confirmation EmailConfirm Email
Name of Bank
Requested Amount
Please verify that you are human
Signature

Clear
Should be Empty:

E-Transfer Request Form