Student Affairs/Records Forms

Student Affairs forms: May be sent to jmeyers@siumed.edu

• Procedure for Payment/Reimbursement of Expenses for Class & Organizational Activities
• Student Expenditure Approval Form
  
• Refund of Medical Benefit Extended Care Fee
• Commencement Information Form
• 4th Year Autobiographical Form

Student Records Forms: May be sent to jlangley@siumed.edu

• Request official student records
  (There is a $5.00 fee for each transcript requested. Please make check payable to SIU School of Medicine.)
• Address/Phone Change Request
• Name Change Request