Third party billing form 2026

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  1. Click ‘Get Form’ to open the third party billing authorization form in the editor.
  2. Begin by entering your Student ID, Last Name, and First Name in the designated fields. This information is crucial for identifying your account.
  3. Next, fill in the Third Party Name, Contact, and Phone Number. Ensure that this information is accurate as it will be used for communication regarding billing.
  4. Review the Third Party FERPA Disclosure and Terms and Conditions carefully. By signing below, you authorize Augusta University to release necessary information to the third party sponsor.
  5. Finally, sign and date the form at the bottom. This confirms your agreement to the terms outlined above.

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