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Electronic Voucher Request

Student Accounts

The voucher period for the summer semester is May 1 - May 18.
This voucher request form can be used to request credits for books and supplies, book rental, commuter meal plans for off campus students, parking decals for students, payment of student parking fines and replacement ID cards for students. The voucher request period is open from May 1 through May 18, 2015. Vouchers will not be approved after May 18. Approvals will only be sent to students with a valid campus email account. If you do not have a campus email account, click here to request one.

This request is for the Summer
Fall
Spring
First Name
Middle Initial
Last Name
Banner ID Number
Last Four Digits of Social Security Number
Phone Number

University Email Address
(*required email must end in @students.ecsu.edu)


Click here if you are unsure of your email address, to request a university email or to reset passwords. To protect the privacy of student information, voucher approvals or denials will be sent to the university email account only. 

Book Rental Request

Book rental can be requested for the Summer Sessions, using this form. If you are attending any of the three summer sessions and desire to rent books, choose one or several of the options below depending on the sessions are you are attending and check the box. After you make your selection(s), scroll down to the bottom of the form, read and initial the Title IV statements. After you have completed the statements, submit the form and the rental amounts as indicated per session will be added based on your selection. You must have enough financial aid to cover the cost of your tuition and fees, plus the book rental. I am requesting book rental for the following semester(s) :

Ten Week Session (May 19-July 2) $47.93
Five Week Session (May 19-June 18) $47.93
Five Week Session (June 23-July 23) $47.93

Book Voucher Request

Returning students that have completed a Title IV authorization and purchased books and/or supplies with vouchers in the past can proceed directly to the Campus Bookstore. The Campus Bookstore has already been notified of your authorized amounts for purchases.

If you have not purchased books and/or supplies in the past, please select

I request that Elizabeth City State University authorize my voucher for purchases in the Campus Bookstore. (Amount cannot exceed your excess aid and will be applied as a charge to your student account).

Book Voucher Requested

Parking Decal Request
I request that Elizabeth City State University advance the following amount for parking permit. (Amount cannot exceed your excess aid and will be applied as a charge to your student account).
$25 (semi-annual amount)
Parking Fine Request
I request that Elizabeth City State University advance the following amount for parking fines. (Amount cannot exceed your excess aid and will be applied as a charge to your student account).
.
ID Voucher Request
I request that Elizabeth City State University advance the following amount for replacement ID. (Amount cannot exceed your excess aid and will be applied as a charge to your student account).
$20
Commuter Meal Plan Request
25 Meals $147.81
Title IV Authorization (Each box must be initialed or the voucher will not be processed).
Federal Title IV financial aid funds, including federal loans and grants, are restricted to pay for current tuition, fees, room and board (if billed by the University) .  Federal regulations require authorization from the student to apply Title IV funds to pay for non-institutional charges (books, supplies, housing damages, parking fees and fines, library fines, breakage fees, lost or damaged equipment, late registration fees, return check fees, medical charges, or any other charges not directly related to taking a class). 
I have read the statement above and I authorize Elizabeth City State University to apply excess funds from Title IV funds to all miscellaneous charges incurred.  I understand the authorization will remain valid throughout my period of enrollment and I can rescind/revoke this authorization at any time in writing. (Please initial box to acknowledge acceptance of the terms.)
I understand that I must utilize the funds within five(5) business days once they are applied to my account and the amount will not be reversed. (Please initial box to acknowledge acceptance of the terms.)
I affirm that I have fulfilled all requirements in the Office of Financial Aid so that my aid may be applied to my account. (Please initial box to acknowledge acceptance of the terms.)