Itemized Statement of Account

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Students needing to provide an itemized statement of account to support their request for tuition reimbursement or to provide it to a third party for a given term may request a statement.

ICC Student ID

ICC Student Email

Phone

Term/Semester Requested

Purpose for Itemized Statement

Tuition Reimbursement

Scholarship Requirement

Other (please explain)

Explain Other

Other Fields

Your name

Your email address

Verification Code