Revised for Spring 2004

Completing the BARC Payment Agreement allows students to set up an installment plan in order to meet payment deadlines for registration/tuition fees for the current quarter. Please note that, except for Financial Aid and TA/ RA students, only 2/3 of the registration charges are eligible for payment plan installments. All other Barc debt must be paid at the time of deferral.

All payment agreements must be received in the Cashier's Office by 4pm on the date indicated on the form. Postmarks are not accepted as payment on time. Please allow adequate time for your forms and payments to timely reach our office.

Cashiers Office
1212 SAASB
University of California
Santa Barbara 93106-2003.

To set up the installment payment agreement, please follow the instructions below. You must have Acrobat or Acrobat Reader 4.0 or higher to complete this form. The deferral and payment options will be automatically calculated. You can download the current, free version of Acrobat Reader from the Adobe website: http://www.adobe.com .

For questions, please go to FAQ on this website, send us an email, or call (805) 893-3756 for assistance.

SECTION 1: STUDENT INFO (* = required info)

  1. *Date - Enter the current date

  2. *Quarter - Indicates the quarter the payment agreement applies to.

  3. *Perm/Account number - Enter your seven digit student identification/account number located on your ACCESS card and your BARC statement.

  4. *Last Name, First, Name, Middle Initial - Enter your full, legal name.

  5. *Billing Address, City, State, Zip - Enter the address to where your BARC statements are being sent. Please update any billing address changes on GOLD.

  6. *Phone # - Enter your daytime phone number.

  7. SSN - Enter your social security number (optional).

  8. Email - Enter your current email address (optional).

SECTION 2: QUESTIONNAIRE (* = required info)

  1. *Registration status - Please indicate your registration status for the current quarter. The default = CA Undergraduate. 2/3 of registration fees, plus the health insurance charge, available for deferral is indicated above each choice. This info will automatically be transferred to the deferral calculation in Section 3.

  2. *TA/RA status - Please indicate whether you have a current TA/RA appointment. The default = N/A. If you mark YES, attach a copy of your current appointment letter when submitting your form. You will be allowed to pay your remaining balance over three payments.

  3. *Current Barc Balance - Please enter your current Barc balance from Gold here. The balance will automatically be transferred to the deferral calculation in Section 3.

  4. *Pending Financial Aid - Please indicate whether ALL of your financial aid has been credited to your account. The default = N/A. If you have aid pending, mark NO and enter only the amount of aid not yet credited to your account in the space indicated (enter the amount as a negative). Attach either a copy of your award letter, indicating the aid you have accepted, or the verification slip verifying your pending aid provided to you by the Financial Aid Department.

    If you have pending financial aid, your deferral will be based on your aid, not on 2/3 of the registration fees. By marking NO and entering an amount for pending aid, the amount of pending aid will automatically be transferred to the deferral calculation in Section 3.

SECTION 3: DEFERRAL CALCULATION - automatic

The deferral calculation is automatic, including the amount required to be submitted with the form, based on the answers provided in the Questionnaire.

  • If you have aid pending, your deferral will be based on financial aid and not on registration fees;
  • The maximum you can defer will be limited to the balance of your Barc account;
  • If you are deferring your entire Barc balance, you are still required to pay the $25.00 mandatory processing fee to initiate the payment plan.

SECTION 4: PAYMENT CALCULATION - automatic

The payment calculation is automatic, based on the answers provided in the Questionnaire:

  • Deferrals based on Registration Fees are split into two payments;
  • Deferrals based on Pending Fin Aid will be due by the 2nd payment due date;
  • Deferrals based on TA/RA appointment will be split into three payments.

    Payment enclosed - Please indicate your check number and amount you are submitting with the form. As indicated in the agreement conditions, not paying the full amount of "Total Due With Form" may result in a delay of your registration, late fees, and/or blocks on your Barc account.

  1. Printing / Payment instructions and Agreement Conditions - The student must print, sign and date the form. The form must then be submitted with the following attachments, as appropriate:
  • A check or money order for the amount indicated in "Total Due With Form". ;
  • Pending Financial Aid: attach a copy for your financial aid award letter or verification slip provided by the Financial Aid Department;
  • Current TA/RA Appointment: attach a copy of your current TA/RA appointment.

    Checks / Money Orders - please make payable to UC Regents. Cash is only accepted if paying in person at the Cashier's Office. Credit cards/Debit cards are not accepted at this time.

    Address - Send all required info to:

    UCSB Cashiers Office
    1212 SAASB
    Santa Barbara, CA 93106-2003

    Agreement conditions - Please read carefully. Payment agreement forms and checks received past 4pm on the deadline indicated will be subject to late payment fees, blocks and/or dropped classes. In addition, not paying the full amount of "Total Due With Form" may result in a delay of your registration, late fees, and/or blocks on your Barc account.

  1. Signature & Date - Must have original signature of student with the date the form is completed. Faxes or photocopies of the payment agreement are not accepted.

If you still have questions - we encourage you to email us at barc.info@barc.ucsb.edu.




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Modified Date: 10/28/2004