Billing Made EasyStudent Accounts - Illinois State 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Student Name (Printed)' field. Ensure that it matches your official records for accuracy.
3. Sign the form in the 'Student Signature' section. This signature authorizes the release of your financial information.
4. Fill in your University ID number and date to confirm your identity and the timing of this authorization.
5. Provide your cell phone number for any necessary follow-up communications regarding your account.
6. List the names and relationships of individuals authorized to discuss your financial obligations, ensuring you include their contact details.
7. Complete the address fields for both yourself and those you are authorizing, including city, state, and zip code.
8. If mailing or faxing this form, remember it must be notarized. Follow the instructions provided for notary use at the bottom of the form.

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