University of Washington, Seattle Tuition Forfeiture Fee 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the 'TO BE COMPLETED BY THE STUDENT' section. Fill in your last name, first name, middle initial, email address, and UW Student ID Number.
  3. Indicate the petition quarter and year for which you are applying for the tuition forfeiture fee.
  4. Sign the consent statement allowing your healthcare provider to share information with the University of Washington. Ensure you also date your signature.
  5. If you are under 18, a parent or guardian must sign and date the form as well.
  6. Next, provide the healthcare professional with the form to complete their section. They will need to fill in their name, credentials, practice information, and contact details.
  7. The healthcare provider must indicate their support for your petition by checking 'Yes' or 'No' and signing with the date.

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