FEE-HELP, VET FEE-HELP and VET Student Loans Re-Credit Application Form
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1 FEE-HELP, VET FEE-HELP and VET Student Lans Re-Credit Applicatin Frm Wh shuld use this frm? Yu shuld use this frm ONLY if all f the fllwing statements apply t yu: Yu tk ut a FEE-HELP, VET FEE-HELP, r VET Student Lans lan fr yur tuitin fees; The census date has passed; Yu discntinued yur enrlment r have nt cmpleted ne r mre units f study due t special circumstances; Yu are requesting a re-credit f yur FEE-HELP balance and a remissin f yur debt due t special circumstances; and Yu are making the re-credit applicatin within: 12 mnths f the withdrawal date fr the curse/unit f study, r if n withdrawal was made, the end date fr the curse/unit f study (FEE-HELP and VET FEE-HELP eligible students); r 12 mnths f the census day fr the curse/unit f study (VET Student Lans eligible students). Yu DO Nt cmplete this frm if: Yu withdrew frm yur curse/unit f study n r befre the census date, yu have nt incurred a debt and yu are nt eligible fr a re-credit; and Yu successfully cmpleted the curse/unit f study. Yu are nt eligible fr a re-credit. Imprtant: Please read the enclsed Explanatry Ntes befre yu cmplete this frm. 1. Persnal details: Surname: Given Names: Student ID: Address: Mailing Address: Phne: 2. Details f the unit/s f study which yu discntinued: Unit Name Unit Cde Semester & Year Date f Discntinuatin FM 654 A v 2.0 (02/02/17) 1 TAFE Queensland. Uncntrlled cpy if printed. Refer t TAFE Queensland intranet fr current versin f dcument.
2 4. Special circumstances (supprting dcumentatin must be prvided, see explanatry ntes) 5. Applicant declaratin and signature I am submitting this applicatin within the applicatin perid (see explanatry ntes). I have attached my supprting dcumentatin, OR I will submit it within 7 days f ldging this applicatin. I wish t apply fr re-credit f my FEE-HELP balance and a remissin f my debt. I declare that the infrmatin I have given n this applicatin is crrect. I understand that if I knwingly make any false r misleading statements, my applicatin will be immediately rejected. Applicant signature: Date: 6. Applicatins t review a re-credit decisin shuld be submitted t: Via mail: In persn: Nte: If yu d nt have the supprting dcumentatin ready, send in this applicatin frm withut delay. Applicatins will NOT be cnsidered if received utside the applicatin perid (see explanatry ntes). FM 654 A v 2.0 (02/02/17) 2 TAFE Queensland. Uncntrlled cpy if printed. Refer t TAFE Queensland intranet fr current versin f dcument.
3 RE-CREDIT APPLICATION OUTCOME Reviewing Officer Name Reviewing Officer Signature Date Appeal Outcme Supprted YES / NO FM 654 A v 2.0 (02/02/17) 3 TAFE Queensland. Uncntrlled cpy if printed. Refer t TAFE Queensland intranet fr current versin f dcument.
4 Explanatry Ntes 1. What are special circumstances? TAFE Queensland defines special circumstances as thse that: Are beynd yur cntrl; D nt make their full impact upn yu until n, r after the census date fr a curse, r the part f a curse; and Make it impracticable fr yu t cmplete the unit f study requirements fr the curse, r the part f the curse, during the student s enrlment in the curse, r the part f the curse. Special circumstances may invlve the fllwing examples: Medical reasns: Yur medical cnditin nly becmes apparent after the census date and the effects are sufficiently serius that it is impracticable fr yu t cntinue with yur studies. Yu cntract an illness prir t the census date. Yur illness cntinues past the census date and deterirates t the extent that yu are unable t cntinue with yur studies. Family/persnal reasns: A member f yur family suffers frm a severe medical cnditin that requires yu t prvide full time care, as a result yu are unable t cntinue yur studies. Yu r yur family s financial circumstances change unexpectedly t the extent that yu are unable t cntinue with yur studies. Emplyment related reasns: Yu are engaged in emplyment ut f necessity and studying. Yur emplyer unexpectedly increases yur hurs f emplyment in circumstances where yu are unable t bject. As a result yu are unable t cntinue with yur studies. Curse related reasns: Yu have been disadvantaged by changed arrangements t yur unit f study, and it was impssible fr yu t undertake alternative units f study. 2. What type f supprting dcumentatin d yu need t prvide? It is imprtant that yu prvide independent supprting dcumentatin t supprt yur claims. Statements made by family members, clse relatives, r friends are nt cnsidered t be independent fr these purpses. Depending n yur special circumstances yu may need t prvide an independent statement frm a dctr, cunsellr, emplyer, r frm yur faculty, including the fllwing examples: Medical reasns: A statement frm a dctr indicating: The date yur medical cnditin began r changed; Hw yur cnditin affected yur ability t study; and When it became apparent that yu culd nt cntinue with yur studies. Family/persnal reasns: A statement frm a dctr, cunsellr r independent member f the cmmunity (e.g. a Justice f the Peace, r a Minister f Religin) indicating: The date yur persnal circumstance began r changed; Hw yur circumstance affected yur ability t study; and When it became apparent that yu culd nt cntinue with yur studies. FM 654 A v 2.0 (02/02/17) 4 TAFE Queensland. Uncntrlled cpy if printed. Refer t TAFE Queensland intranet fr current versin f dcument.
5 Emplyment related reasns: A statement frm yur emplyer indicating: Yur previus wrk hurs and lcatin; Yur current wrk hurs and lcatin; and The reasn fr changed hurs and/r lcatin. Curse related reasns: A statement frm yur faculty indicating: The date the arrangements fr yur unit f study changed; Hw yur changed arrangement affected yur ability t study; and When it became apparent that yu culd nt cntinue with yur studies. Please nte: If yur applicatin includes a Prfessinal Practitiner Certificate/s as supprting independent dcumentatin, please als prvide a letter frm the dctr/cunsellr utlining the details f the certificate/s that are relevant t this prcess. A Prfessinal Practitiner Certificate is slely used t assess a student s academic perfrmance and is nt sufficient fr the purpse f apprving an applicatin fr re-crediting f yur FEE-HELP balance. Privacy Disclaimer TAFE Queensland is cllecting the infrmatin n this frm in accrdance with the Infrmatin Privacy Act 2009 fr students wh have a FEE-HELP debt with the Cmmnwealth Gvernment. Only authrised TAFE Queensland fficers will have access t this infrmatin. Yur infrmatin will nt be disclsed t any third party withut yur cnsent, unless authrised r required by law. FM 654 A v 2.0 (02/02/17) 5 TAFE Queensland. Uncntrlled cpy if printed. Refer t TAFE Queensland intranet fr current versin f dcument.
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