THE UNIVERSITY OF TOLEDO
Rocket Card Withdrawal Request
Guidelines:

Rocket Card withdrawal request will only be processed provided a student has funds available to withdraw

Any eligible funds withdrawn may be applied to an outstanding student account balance from the current aid
year, prior to any refund to the student

Student refunds are distributed via direct deposit to the account designated by the student (please make sure you
have provided this information prior to completing this form). NO CASH Refunds are issued.

Withdrawal requests will begin to be processed after the add/drop period ends

Submit completed forms to:
The University of Toledo
Rocket Solution Central, Rocket Hall, Room 1200
2801 W. Bancroft St.
Toledo, OH 43606
Date of Request:
Rocket Number: R
Student’s First Name:
University email:
Middle Initial:
Last Name:
@rockets.utoledo.edu
Telephone Number:
Address:
Type of Withdrawal: Financial Aid
Rocket Dollars
Amount:
Remaining Balance
Specific Amount $
___________________________________________________
Student Signature
University offices need to complete this section:
__________________________________________
Treasurer’s Office Signature
_________________________
Date of Request
Amount of Withdrawal $_______________________
Account Number: ______________________