Meal Plan Appeal Form

Name

Your Student ID Number

Your E-Mail Address

Meal Plan Information*

I have a $400 a semester meal plan
I have a $1,250 a semester meal plan
I have a $2,331 a semester meal plan

Reason for Appeal Select all that apply

Additional information regarding the request is available

My circumstances have changed

I believe, and can document, that established procedures were not followed by the committee

Provide justification explaining the reason you are appealing.

Please Feel Free to Attach Supporting Materials

Are You a Robot?

Dean of Students Office

Student Activities Center, Suite W301

2100 South Floyd Street

University of Louisville

Louisville, Kentucky 40292

Office Hours

M-F 9:00am to 5:00 pm

Phone

tel (502) 852-5787

fax (502) 852-1429

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