PLEASE READ THESE INSTRUCTIONS BEFORE CONTINUING

*FOR ACADEMIC COURSE FEES ONLY*

Academic Course Fee Authorization Form Instructions

Please note that this form is to be used for academic course fees only. Any fee that is not course related will not be requested using this form. For non-course fee requests, please use the “Non-Course Fee Authorization Form”. When requesting a special course fee, complete the instructions below.

Step 1

Complete the special course fee authorization web form in its entirety. Please complete a new form for each fee requesting or modifying. The GL is 510200 for all course fees per the Accounting Services department. This has been made the default on this web form and cannot be edited.

Step 2

Approval of the Department Chair and Dean is required when submitting this form. Attach documentation of this approval as well as any additional supporting documentation to the web form prior to submitting. It is strongly recommended that all supporting documents be in PDF format.

Step 3

When the web form is complete and all supporting documentation has been attached, click submit. The form will be electronically routed to FPB for processing.

Step 4

FPB will review your request and obtain final signatures from the Provost (or designee) and the President.

Step 5

Once FPB has obtained final signatures of approval, FPB will notify the originating department electronically and provide a signed copy of the approval. FPB will then update the university fee database accordingly. If the fee request is declined by the Provost or President, FPB will notify the originating department electronically and provide a signed copy of the denial.

Step 6

FPB will electronically send a copy of the approved fee form to the requesting department, the College Budget Specialist, Global Campus, Registrars, and Student Account Services & University Billing (SASUB). The original electronic form will be retained by FPB.

*PLEASE NOTE: If at any time during the approval process you would like to check the status of the form, please contact FPB via phone at (989) 774-7378 or email at fpb@cmich.edu.

Requesting department: *
Department contact name & phone number: *

Submission Deadlines

University Fee Form Submittal Due to Financial Planning & Budgets (Current Year)	Effective Date / Semester Date (Future Year)
September 1st	Spring
January 7th	Summer
February 1st	Fall

Course prefix & number:		GL: 510200 Course Fees
Course Title:		Customer Charged	=  Student
Effective semester:		Cost center:

Amount of fee requesting:  $ *

Check all that apply:
New Fee
Change in existing fee (list existing fee) $
Field trip fee
Delete this fee

Justification for special fee being requested (include the type of customer being charged):
If you require more than 1900 characters for your justification, please attach a file below.
Characters used: Characters left:

Only 1900 characters allowed.


Budget (required to be completed)

Expected annual enrollment:	*
Anticipated annual expense:	$ *
Course fee:	$  amount of fee requesting.
Anticipated annual fee collected:	$  auto calculated.

Digital Signature(global ID): *

I hereby state that by clicking the submit button that all information contained in this document is correct and true to the best of my knowledge and that I have all required authorization needed to submit this document.

Attach file: Only .pdf allowed.
Attach file: Only .pdf allowed.