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Alabama PACT Request
To be used by students wishing to utilize Alabama PACT funds at UAH
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Email *
Student First Name (as listed with Alabama PACT) *
Student Last Name (as listed with Alabama PACT) *
UAH ID Number (Include A) *
What semester are you requesting Alabama PACT funds to be applied to your student account? *
I understand that by submitting this request, the Bursar's Office at UAH will apply my Alabama PACT funds to my student account according to the Alabama PACT payment policy. 
I further understand that if I owe a balance to UAH Bursar's Office due to insufficient Alabama PACT funds available I will be expected to pay the balance upon notification or a hold may be placed on my grades and registration.
10 digit Phone Number *
By checking the box below and clicking submit, you acknowledge that the information provided is true and accurate to the best of your knowledge. *
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