Retirees OR if taking classes from a different Arkansas System campus,
PLEASE use this Dependent Tuition Waiver paper form for requesting dependent tuition waivers. The filling of form fields is supported online in IE and Chrome but is not supported in Firefox or Microsoft Edge. You can download the form and fill it out.

If you have any questions regarding your tuition waiver, please call the Treasurer's Office at 479-575-2004, M-F 8:00 am to 5:00 pm.

Dependent Tuition Waiver

Student Information

First Name:


Last Name:



University ID:




Student Campus:

How Many Credit Hours is the Student Requesting this Semester:


Employee Information

First Name:


Last Name:


Login to Web BASIS to lookup Employee ID

Employee ID:


Campus Address:


Dept Code:


Campus Phone:


UARK email: 


I certify that the above student is my spouse or dependent child as defined by the Internal Revenue Service. A dependent child per the IRS is a full-time student under the age of 24 at the end of the year or if the student is permanently or totally disabled. I agree to furnish documentation in support of the validity of the above statements, including, if requested, copies of Federal and State Income Tax returns as may be necessary to confirm my claim of dependent status. I also certify that I am currently serving the University on 100% appointment and that my date of appointment is before the final day of course registration for the term in which this discount is requested. I certify that the above student has not registered for 132 hours at the discounted rate. I certify that I have read and agree to the specifications listed in Board Policy 440.1 and Fayetteville Policies and Procedures 512.0. I understand that if I fail to complete this form and pay the remaining balance due on the student’s account by the tuition and fee due date that I will be subject to late fees.
Checking this box means that you have read the above paragraph and agree to the terms.
Important Deadlines
Deadline Fall  2017
100% Refund for Dropped Classes Aug 25
100% Refund for Withdrawal Aug 20
Payment Deadline (no payment plan) Aug 25
Financial Aid/Scholarship Disbursement Begins Aug 11
Payment Plan Last Installment Nov 27

Treasurer's Office

  • Arkansas Union Room 214
    University of Arkansas
    Fayetteville, Arkansas 72701
  • P 479-575-5651
  • F 479-575-8667

Operating Hours

  • Monday-Friday 8:00am-5:00pm