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Get Kapt Billing Authorization Form

This includes discrepancies between what has been authorized on this form and what the school has billed KAPT. Billing Authorization Form Use this form to authorize your beneficiary s higher education institution to bill KAPT for payment of tuition and fees. GetKAPT. com. Date KAPT Account Owner Instructions Submit this completed form to the school billing office by the payment deadline for each academic period. Submit this completed form to the school by the payment deadline each academic period you want KAPT invoiced. The school will not bill KAPT for payment without authorization from you. Do not submit this form to KAPT. Account Information Account Owner s Name Student Beneficiary Information Student s Name Social Security Number School Name Academic Period Billing Amount Please invoice KAPT for my beneficiary as follows check one Tuition and mandatory fees charged for the academic period The following lesser amount Keep in mind that if your beneficiary uses more benefits in an academic year than the one-year payout value your account will be depleted at a faster rate and your benefits may be exhausted in a lesser number of years than anticipated. Account Owner Signature By signing below I certify the following I am authorizing my beneficiary s higher education institution to invoice KAPT for the payment of qualified higher education expenses as indicated above. The amount I have authorized my beneficiary s higher education institution to bill KAPT as indicated above plus any residual benefit request or requests I have made do not exceed the total payout value of my account. For information on your account payout value based on original utilization period please call 1-888-919-KAPT option 2 or visit www. For any questions regarding your beneficiary s account with the school please contact the school directly. Note that if your beneficiary has more than one KAPT account with the same or different account owners the accounts are used in the order they were purchased* If this is not your preference please call 1-888-919-5278 option 2. If you have questions regarding the use of your KAPT benefits please call 1-888-919-5278 option 2. School Instructions Kentucky schools should use the KAPT eligibility website www. prepaidtuition*com to verify students eligibility to use KAPT benefits before invoicing KAPT. Please do not bill KAPT until after the drop/add deadline each academic period. The amount I have authorized my beneficiary s higher education institution to bill KAPT as indicated above plus any residual benefit request or requests I have made do not exceed the total payout value of my account. For information on your account payout value based on original utilization period please call 1-888-919-KAPT option 2 or visit www. Note that if your beneficiary has more than one KAPT account with the same or different account owners the accounts are used in the order they were purchased* If this is not your preference please call 1-888-919-5278 option 2. If you have questions regarding the use of your KAPT benefits please call 1-888-919-5278 option 2. School Instructions Kentucky schools should use the KAPT eligibility website www.

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