Request for Record of Credit Hours Taken Under the
Hazelwood Exemption for Texas Veterans
(§ 54.203 of the Texas Education Code)
From:
University of Houston, Student Financial Services
Hazelwood Program Representative (713) 743-1096
Date:
Beginning with the Fall 1995 semester §54.203© of the Texas Education Code limits the
credit hours exempted under the Hazelwood Act. to150. This is an attempt to collect
information from your institution in that regard. The following student requested that the
applicable tuition & fees be exempted at the University of Houston under that provision.
Student Name:
SSN#:
1) Number of Credit hours exempted under the Hazelwood Act at your institution
beginning with the Fall 1995 semester.
2) Number of credit hours ‘under the Hazelwood Act’ reported to your institution
from another institution, beginning with the Fall 1995 semester
Signature of Reporting Officer
Date
Title of Reporting Officer
Telephone Number
Institution Name
Please ‘MAIL’ this completed form to:
Or ‘FAX’ to: 713.743.5897
University of Houston
Student Financial Services
ATTN: Hazelwood Representative
9 E. Cullen
Houston, Texas 77204-2008