Get Sponsor Direct Billing Authorization Form September 1, 2023

Filling out the Sponsor Direct Billing Authorization Form is essential for students who have a sponsoring agency. This guide provides clear instructions to help you complete the form correctly and efficiently in an online format.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. In the Student Name field, enter the full name of the student being sponsored.
3. Fill in the Student ID# field with the student's unique identification number.
4. In the Sponsor Name section, provide the full name of the sponsoring organization.
5. Enter the Sponsor ID# in the designated field, which should be the UNB internal identifier.
6. Complete the Sponsor Address section by writing the full address of the sponsoring agency.
7. Fill in the City/Prov./Postal Code fields accordingly to accurately reflect the sponsor's location.
8. Input the Sponsor's Phone number and Email Address where indicated.
9. For the Terms section, select the appropriate terms by checking the boxes for Fall 2023, Winter 2024, and/or Summer 2024 to authorize invoicing for those terms.
10. In the Financial Information section, check applicable fees that the sponsor agrees to pay, including online fees, health insurance, and tuition.
11. If there are any financial restrictions or additional information, write it in the designated area provided.
12. The authorized representative of the sponsoring agency must sign the form, print their name, and add the date.
13. Students need to sign and date the Student Agreement section, acknowledging their responsibilities.
14. Review all entered information for accuracy before finalizing.
15. Save your changes, then download, print, or share the form as needed.

Complete your Sponsor Direct Billing Authorization Form online to ensure timely processing.