Forms

The following documents are in PDF format and require Adobe Reader, which is a free download.

• Affidavit Form
• Decline of Student Loan Check
• Departmental Authorization Form
• Emergency Loan Application **
• Joint Reciprocal Agreement (UTHSC and Univ. of Memphis)
• Jury Duty Payment Form
• Petty Cash Form T-4
• Plus Loan Authorization for Parents
• Power of Attorney
• Refund Check Stop Payment Authorization
• Release of Student Information
• T-33
• Third Party/Sponsor Payment Deferral Agreement
• Travel Advance Pay

** New students are not eligible for an emergency loan before the commencement of classes. Graduating students are not eligible for an emergency loan 90 days prior to graduation.

Contact Us

Bursar's Office

62 South Dunlap, Suite 103
Memphis, Tennessee 38163
Phone: 901-448-5550
Fax: 901-448-6795
Email: cashier@uthsc.edu

Student Loan Office

62 South Dunlap, Suite 103
Memphis, Tennessee 38163
Phone: 901-448-6773 or
800-567-8431
Fax: 901-448-6795
Email: studentloans@uthsc.edu