The Deferred Payment Plan (DPP) is an option for students who wish to pay their registration feesmonthly rather than quarterly. Students receiving enough financial aid to cover their registration fees do not qualify. There is a $60.00 non-refundable application fee due with the application for the 9-month plan and $25.00 for the 3-month plan. The application fee will be billed to your student account.

DPP applies to Registration Fees for the Fall, Winter and Spring Quarters only. Please contact theOn-Campus Housing Office at (831) 459-2394 to arrange a housing payment plan. By signing thisapplication you agree to pay one third of your Registration Fees monthly whether or not a billingstatement is received. You acknowledge by signing this form you are responsible for these deferredfees and that the entire amount will be paid by the last due date of each quarter. (See BillingSchedule at sbs.ucsc.edu)

*Applications received after the posted date will be processed and reflected on your future Statement of Account. Please call Student BusinessServices for payment amount.

I, the undersigned, do hereby agree to have my registration fees, as established by the Regents of the University of California and billed by the Santa Cruz campus, divided into monthlyinstallments. I understand the application fee is non-refundable. I agree to update my address immediately on the student portal, and I maintain responsibility for my account. I understandthat if I do not pay by the due date as stated on my Statement of Account, I will be assessed late fees. The first late fee is $50 and subsequent late fees are $15 per billing. I understand thatfailure to pay may result in the University withholding all services, including class enrollment, registration and official transcripts. I understand that in the event of non-payment, theUniversity has the right to terminate this agreement and declare the entire balance, plus applicable late fees, due and payable. I understand that registration fees are subject to change, whichmay cause an adjustment to my payment plan. I understand that if my student status changes, I am responsible for notifying the Office of the Registrar. Such a change could also result in achange of my payment plan.

I acknowledge that I have read, understand, and agree to the terms and conditions as set forth in this Deferred Payment Plan Application andPayment Agreement. By emailing my electronic signature I understand that the electronic documents and procedures presented on this applicationwill replace the use of paper documents and manual procedures. Electing to Submit by Email will indicate your agreement to the terms andconditions.

Federal Privacy Notice: In accordance with the Federal Privacy Act of 1974, you are hereby notified that disclosure of your Social Security Number is voluntary. This record keeping system was established pursuant tothe authority of the Regents of the University of California under Article IX, Section 9 of the California Constitution. The principle uses of the number shall be to verify your identity in the UCSC Student

Contact our office to determine the amount of your first payment or for other billing questions (831) 459-2107, oarinfo@ucsc.edu.