Submit Hazlewood benefit-related questions.
Title
A short description to explain the nature of a ticket.
Hazlewood Benefit Service Request Form
Enter “N/A” if unknown or for prospective students
Enter FERPA pin # designated on Red Raider Family Network
Check All That Apply
Check All That Apply
Upload your Third Party Sponsor Agreement file here.
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Source
Indicates from where a ticket originated, such as via email, phone, or web.
Web

Other Fields

Your name
Verification Code