Appeal Form

Media Loan assesses fines and charges for overdue, lost and damaged equipment, accessories and keys. If you believe you have been charged incorrectly or unfairly, please use this form to state your reasons and an equitable solution.

Appeal process instructions:

  1. Appeals must be complete to be accepted.
  2. You must provide the Checkout Number (found on email notification of late return) or Invoice Number (available from - Student Financial Services > Account Detail for Term) in the specified field.
  3. Appeal must be submitted within 30 days of charge.

Appeal Late Fines

Appeals must be complete to be accepted.

Enter your Evergreen email account. Appeal decisions are emailed to this account.
Enter the Checkout Number (found on notification email) or Invoice Number (found on student account charge) that you are submitting the appeal for.



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