Student Account Services

Former Student & Other Account Holder Payment Form

First name

Last name

Email address

CWID/Account Number

Invoice Number

Invoice Payment Amount

USD

If you have any questions, please contact Student Account Services at studentaccounts@ua.edu or 205-348-5350. Credit card payments are subject to a 2.95% or 4.25% processing fee based upon country of origin. Upon submission of this form, you will be redirected to a secure payment portal to complete your payment.