Withdrawal Form and Instructions

Please Note: Once you withdraw from your course(s), it is final for the term. 

Use the withdrawal form below only if you are unable to access your registration on My.SUNYEmpire. Please visit My.SUNYEmpire > Registrar’s Office > Registration and Course Offerings > Begin or Modify Registration to drop any or all of your studies during registration, late registration, add/drop and through the last day of the term.

If you do need to submit a paper withdrawal form, the effective date of the withdrawal is the date faxed or the postmark date.

Your withdrawal and the timing of your withdrawal may have an impact on your:

  1. enrollment status
  2. satisfactory academic progress (SAP)
  3. student account
  4. current and future financial aid 
  5. VA benefits for military students

Withdraw from Courses Form (Adobe Acrobat Sign) 

Impact of Withdrawal on Enrollment Status

The effective date of the withdrawal may affect the full- or part-time enrollment status of the student. For the purpose of establishing enrollment status, enrolled credits are the number of registered credits after day 28 of the enrollment term. View the academic withdrawal policy for more information.

Impact of Withdrawal on Satisfactory Academic Progress (SAP)

The effective date of a withdrawal also affects the calculation of satisfactory academic progress. For purposes of calculating satisfactory progress, credits attempted is the number of registered credits on day 8 (which is after add/drop) of the enrollment term. Thus, the date of withdrawal affects whether the credits are counted in the number of credits attempted. View the academic withdrawal policy for more information.

VA Benefits for Military Students

Attention military students receiving Chapter 33 VA Educational Benefits: Withdrawing from one or more of your studies after the end of the school's add/drop period may result in the Veterans Administration (VA) reducing or stopping your benefits on the date of reduction or withdrawal. If you withdraw from a study, or studies, after the end of the add/drop period, you may have to repay all benefits for the studies unless you can show the change was due to mitigating circumstances. The VA defines mitigating circumstances as unavoidable and unexpected events that directly interfere with your pursuit of a course and are beyond your control.