Student Accounts Refund Request Form

Refund Request Form

Refund requests are only considered for circumstances clearly beyond a student's control and must be turned in by the 8th week of the term you are requesting a refund for.

Please review the Refund Request Information page for full details regarding a request before you complete the form below. 

If you have documented medical or emergency reasons why you were unable to drop your class by the refund deadline, use this form to request a refund. See Refund Request Information for details about filing a request.

If you have questions about whether you might be eligible to receive a refund, or how to do so, please email Enrollment Services Advisors at AskLane@lanecc.edu.

If you have further information to submit or questions about a Refund Request form you have already completed, please email the Refund Committee RefundRequest@lanecc.edu.

Please enter both your first and last names.
Include city, state, and zip code. Be sure your address is current in myLane so if your refund is approved and you have a credit balance it will be mailed to your current mailing address.
(555) 555-5555
CRN and Course Name for each class.

You can submit documentation in person to Enrollment and Student Financial Services in the lobby of Building 1 on main campus.

OR

Mail documentation to:
Lane Community College
PO Box 50850
Eugene, Or 97405-0099

File size must be 5 mb or less
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx xls.
File size must be 5 mb or less
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx xls.
File size must be 5 mb or less
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx xls.
File size must be 5 mb or less
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx xls.
File size must be 5 mb or less
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx xls.

By submitting this request, I understand that:

Request for refunds are considered only for circumstances clearly beyond a student's control. Transportation fee is non-refundable. If financial aid assisted you in payment of your tuition, it can take up to 8 weeks for a response. Any refund is first applied to your account if any term has a balance effective that date. After funding your account, any overpayment will be refunded to you. Notification will be emailed to you.

Lane Community College Refund Policy