UC Davis Third Party Contract

University of California, Davis will invoice outside organizations (sponsors) for the charges on the student's bill according to which fees the sponsor agrees to pay in support of a student. This process is called Third Party Contract (TPC) Invoicing.

To be eligible for the TPC invoicing process for the academic year (quarter programs), please submit your completed application form no later than September 1st.

For Individual Quarter :

Fall: September 1st

Winter: December 1st

Spring: March 1st

For Semester Programs (Law and Vet)

Fall: August 1st

Spring: December 1st

If the application is not completed by this date, we cannot guarantee sponsor fee credits will be posted by the term fee payment deadline. Forms received after the due date will be processed within 10 working days.

Fees & Billing Calendar

For questions regarding sponsorships, email sponsor@ucdavis.edu

Student Information

Student Name

(First and Last Name)

UC Davis Student ID Number (9 Digits)

UC Davis Student Email

Must use UC Davis provided email ending with @ucdavis.edu

Sponsor Billing and Contact Information

Organization Name

Organization Billing Address

(Street Address)

Organization City/State

Organization Postal Code

Organization Country

Organization Billing Contact Name

(First and Last Name)

Organization Billing Contact Email

Organization Billing Phone Number

Sponsor UCD ID Number

If you do not know the Sponsor ID, please enter 'Unknown'.

Mandatory Fees

Check the boxes below to indicate which of the mandatory fees your organization will pay. Your organization will be invoiced accordingly.

For a list of student fees, visit the student fees website http://budget.ucdavis.edu/studentfees
To apply for a health insurance waiver, student must visit the Health Center website http://healthcenter.ucdavis.edu/insurance/waiver/

Additional Fees

Check the boxes below to indicate which of the additional fees your organization will pay. Your organization will be invoiced accordingly.

For information about Student Association Fees
https://financeandbusiness.ucdavis.edu/student-resources/tuition-fees/ucsa-sw-fee
https://financeandbusiness.ucdavis.edu/student-resources/tuition-fees/ucgpc-sw-fee

Sponsorship Year/Term

Academic Year

Academic Term

Select the terms in the academic year which the organization will sponsor the student

Fall

Winter

Spring

Summer

Privacy Disclosure for the Student

The University is prohibited by the Federal Family Educational Rights and Privacy Act (FERPA) from releasing class names, descriptions, transcripts, grades, financial aid information, or information about other charges. The student is responsible for providing this information to the sponsoring organization if it is required. By signing below, the student is authorizing the University of California, Davis- Student Accounting to release necessary financial aid and/or course information to their sponsor for the purposes of sponsor invoicing. This may include electronic transmission methods (email, fax, etc), if requested.

Student Acknowledgement

I have read and understand.

Sponsor Authorization

I have a sponsor authorization letter

Yes

If you do not have a sponsor authorization, direct your sponsor to email the authorization to Sponsor@ucdavis.edu

Student Initials

I understand that funds will not be credited to my account until a sponsor authorization is received by UC Davis.

Terms and Conditions

Upon acceptance of this agreement and pending receipt of the sponsor's payment, a temporary credit will be applied to the student's account. University of California, Davis will invoice the sponsor each term for the agreed amounts. If the sponsor payment is not received by the date due on the invoice, the temporary credit applied to the student's account may be removed. In such cases, the student becomes responsible for the payment in accordance with University policy. Unpaid balances may cause the student's account to become delinquent and to be placed on hold which may prohibit future enrollment and diploma releases. If the account is referred to an outside collection agency, the student may be responsible for any collection costs chargeable by law. University of California, Davis reserves the right to refuse any third party contract application if it is not in the best interest of the University.

Form Completed By

Full Name

Today's Date

mm/dd/yyyy

Third Party Payments are due 30 days after the Invoice Date.

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