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It is designed to facilitate the billing process where a sponsoring organization agrees to cover a student's educational expenses. The form captures essential data including sponsoring organization details, student identification, term specifics, and explicit authorization for various charges like tuition, fees, health insurance, and books. Additionally, it requires the identification of other financial aid sources to be applied prior to third-party billing. Both the sponsoring organization representative and the student are required to provide signatures to certify the agreement. This structured template ensures that institutional financial records are accurate and that all parties are legally aligned regarding payment responsibilities and limitations. By standardizing this communication, the university streamlines the administrative coordination between external funding sponsors and student account management.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/third-party-authorization-form/286797/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/third-party-authorization-form/286797.png","ImageObject",442,249,{"name":88,"@type":89},"Jiven","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information is required from the sponsoring organization?","Question",{"text":108,"@type":109},"The sponsoring organization must provide their contact name, phone number, billing address, and a signature from an authorized representative.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Can a sponsor limit their payment to a specific number of credit hours?",{"text":113,"@type":109},"Yes, the form includes a section to indicate if billing is limited by the maximum number of credit hours covered.",{"name":115,"@type":106,"acceptedAnswer":116},"What types of charges can be selected for third-party coverage?",{"text":117,"@type":109},"The form allows the selection of application fees, tuition, general fees, health insurance premiums, books, payment plan fees, and penalty fees.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},286797,1790001088,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","| | Student Accounts\u003Cbr>46 University Drive Augusta, ME 04330-9488 207.621.3131\u003Cbr>[studentaccounts@maine.edu](studentaccounts@maine.edu) |\n| --- | --- |\n\nTHIRD PARTY AUTHORIZATION FORM  \n\n| Sponsoring Organization: |  |  |\n| --- | --- | --- |\n| Contact Name: | Contact Phone: |  |\n| Bill To Address: |  |  |\n| City: | State: | Zip: |\n| Attached authorization form from Sponsor? ▢ Yes ▢ No |  |  |\n| Student Name (Last, First, MI): |  |  |\n| Student ID: | Term: |  |\n\nPlease check appropriate response:  \n\n| 1. Is billing limited by maximum number of credit hours? |\n| --- |\n| ▢ Yes ▢ No If yes, please indicate maximum number: |\n\n\n| 2. Please indicate charges to be covered by this agreement: |  |  |\n| --- | --- | --- |\n| ▢ Application Fees | ▢ Health Insurance premiums |  |\n| ▢ Tuition | ▢ Books up to a maximum of $ |  |\n| ▢ Fees | ▢ Payment Plan Fees | ▢ Penalty Fees |\n\n\n| 3. Please indicate aid to be applied to student charges prior to billing third party. |  |\n| --- | --- |\n| ▢ State Funding | ▢ Federal Financial Aid (ie Pell, SEOG) |\n| ▢ Scholarships | ▢ Waivers |\n| ▢ Loans | ▢ Other: |\n\n\n| Certifying Third Party Name & Title |  |\n| --- | --- |\n| Certifying Third Party Signature: | Date: |\n| Student Signature: | Date: |","cbCaifTE36XfpU8R","https://ap.wps.com/l/cbCaifTE36XfpU8R","pdf",99154,"English","# Sponsoring Organization Details\n## Student Information\n# Billing Parameters and Limitations\n## Charge Coverage Specifications\n## Financial Aid and Funding Offsets\n# Authorization and Certification","[{\"question\":\"What information is required from the sponsoring organization?\",\"answer\":\"The sponsoring organization must provide their contact name, phone number, billing address, and a signature from an authorized representative.\"},{\"question\":\"Can a sponsor limit their payment to a specific number of credit hours?\",\"answer\":\"Yes, the form includes a section to indicate if billing is limited by the maximum number of credit hours covered.\"},{\"question\":\"What types of charges can be selected for third-party coverage?\",\"answer\":\"The form allows the selection of application fees, tuition, general fees, health insurance premiums, books, payment plan fees, and penalty fees.\"}]","Third Party Authorization Form | PDF",1789631556]