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Outline

The Indiana State Form 51804, also known as the Career College Student Assurance Fund Quarterly Collection form, plays a crucial role in ensuring the financial integrity of postsecondary proprietary institutions in Indiana. This form is required for each campus location and must be submitted quarterly, detailing tuition revenues and contributions to the assurance fund. Institutions are tasked with reporting gross tuition earned from both Indiana residents and out-of-state students instructed within the state, as well as any refunds issued. The form includes specific sections for reporting earned tuition, calculating the required contributions, and certifying the information provided. Notably, a small percentage of net tuition, along with a fixed additional fee, constitutes the total payment owed to the fund each quarter. Compliance with these requirements is essential, as failure to submit the form and payment on time can lead to serious consequences, including the potential revocation of accreditation. Understanding the ins and outs of this form is vital for institutions aiming to maintain their operational status while safeguarding student interests.

Sample - Indiana State 51804 Form

CAREER COLLEGE STUDENT ASSURANCE FUND

FOR OFFICE USE ONLY

QUARTERLY COLLECTION (CCSAF-1)

Date stamp upon receipt (month, day, year)

State Form 51804 (R2 / 6-11)

 

Approved by State Board of Accounts, 2011

 

INSTRUCTIONS: 1. Please print legibly or type the information on this form.

2.A separate form is required for each campus location.

3.Payment is due forty-five (45) days from the close of the quarterly reporting and collection period.

4.Send the completed form and FUND payment to the Indiana Commission on Proprietary Education, 302 West Washington Street, Room E201, Indianapolis, Indiana 46204.

5.If you have any questions concerning this form, please contact the Commission at (317) 232-1320.

SECTION A - REPORTING INFORMATION

1.

COPE advertising code

2. Reporting quarter (check appropriate box)

July 1 - September 30

 

3. Year of reporting quarter

 

 

 

January 1 - March 31

April 1 - June 30

October 1 - December 31

 

 

 

 

 

 

 

 

 

 

 

4.

Name of contact person (person responsible for completing this form)

 

 

 

5. Daytime telephone number

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION B - OWNER INFORMATION

 

 

 

1.

Name of owner (legal, partnership, corporate, or other entity name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

If sole owner (last name, first name, middle initial, suffix)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Primary address (number and street, city, state, and ZIP code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

E-mail address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION C - CAMPUS INFORMATION

 

 

 

1.

Business trade name / DBA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Physical address (number and street, city, state, and ZIP code - no PO Box numbers)

 

 

 

 

 

 

 

 

 

 

 

 

3. Telephone number of business location

 

 

4. Fax number of business location

 

 

 

 

(

)

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION D - REPORT OF QUARTERLY EARNED TUITION

 

 

 

 

1. Total Gross Tuition / Instructional fees received from all Indiana residents this quarter:

 

 

 

 

 

 

 

 

 

 

 

2. Total Gross Tuition / Instructional fees received from all out of state residents instructed within Indiana this quarter:

 

 

 

 

 

 

 

 

 

 

 

3. Total value of refunds made this quarter (to students from, or instructed in, Indiana):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Net tuition earned (Lines D1 + D2 - D3):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION E - CALCULATION OF REQUIRED CONTRIBUTION

 

 

 

 

1. Required FUND Contribution (0.1% Net Tuition; Line D4 X .001):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Additional Required Fee (IC 21-17-3-9):

 

 

 

 

 

 

$60.00

 

 

 

 

 

 

 

 

 

 

3. Total Payment this quarter (Lines E1 + E2):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION F - SIGNATURE AND CERTIFICATION OF NOTARY PUBLIC

 

 

 

 

STATE OF _______________________________

 

 

 

 

 

 

 

 

 

 

SS:

 

 

 

 

 

 

 

 

COUNTY OF _____________________________

 

 

 

 

 

 

 

 

I, ________________________________________________________________, first being duly sworn on oath say that I am the above named,

 

that I have personally prepared the foregoing application, and that the same is true to the best of my knowledge and belief.

 

 

 

 

 

 

 

 

 

Signature of person completing this form

 

 

 

 

Date subscribed and sworn (month, day, year)

 

 

 

 

 

 

 

 

 

Printed or typed name of person completing this form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of notary public

 

 

Printed or typed name of notary public

 

 

 

 

 

 

 

 

 

 

 

County of residence

 

 

Date commission expires (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS FOR COMPLETING STATE FORM 51804, CAREER COLLEGE STUDENT ASSURANCE FUND QUARTERLY COLLECTION (CCSAF-1)

INSTRUCTIONS FOR COMPLETING STATE FORM 51804 & SUBMITTING PAYMENT TO THE FUND

All sections of the form must be completed.

Purpose: The career college student assurance fund is established to provide indemnification to a student or an enrollee of a postsecondary proprietary institution who suffers loss or damage as a result of any of the occurrences described in section 5(c) of IC 21-17.

State Form 51804 is used to calculate and process quarterly payments to the Career College Student Assurance Fund as directed under IC 21-17-3-9 and 570 IAC, the statute and regulations of the Indiana Commission on Proprietary Education.

This form and the required payment must be submitted quarterly in accordance with IC 21-17-3-9 and 570 IAC 1-14.

A completed form and payment is required of each campus for which a surety bond is required for accreditation.

Section D (Report of Quarterly Earned Tuition) pertains to all students who are residents of Indiana - regardless of instructional location - and all students instructed within the state of Indiana. The annual (four-quarter) totals from Line D1 and Line D2 should be comparable to the values reported on the Indiana Tuition Report (State Form 49926).

Payment of the Additional Required Fee (Line E2) is required every quarter as defined in IC 21-17-3-9 et seq. If no tuition revenue is collected, or if the FUND has reached maturity, please remit ONLY this amount.

Failure to remit the appropriate fee(s) may result in the suspension or revocation of institutional accreditation to operate as a postsecondary proprietary institution within the state of Indiana.

Be sure to answer all applicable questions. Failure to do so may result in delays in crediting your account. Please print legibly or type the information on your application.

Payment is due forty-five (45) days from the close of the quarterly reporting and collection period.

Send the completed form and payment to the Indiana Commission on Proprietary Education, 302 West Washington Street, Room E201, Indianapolis, Indiana 46204.

If you have any questions concerning this form, please contact the Commission at (317) 232-1320.

LAWS & REGULATIONS REGARDING CONTRIBUTIONS TO THE CAREER COLLEGE STUDENT ASSURANCE FUND

STATUTORY AUTHORITY & AGENCY REGULATIONS REGARDING CONTRIBUTIONS TO THE CAREER COLLEGE STUDENT ASSURANCE FUND

(Full texts of the Indiana Code and Indiana Administrative Code are available on the Commission’s web site, www.in.gov/cope.)

IC 21-17-3-9 Quarterly contributions to fund; determination; bond

Sec. 9.3. (a) Subject to section 9(a) of this chapter, each postsecondary proprietary educational institution shall make quarterly contributions to the fund. The quarters begin January 1, April 1, July 1, and October 1.

(b)For each quarter, each postsecondary proprietary educational institution shall make a contribution equal to the STEP THREE amount derived under the following formula:

STEP ONE: Determine the total amount of tuition and fees earned during the quarter.

STEP TWO: Multiply the STEP ONE amount by one-tenth of one percent (0.1%).

STEP THREE: Add the STEP TWO amount and sixty dollars ($60).

(c)Notwithstanding section 6 of this chapter, for a postsecondary proprietary educational institution commencing operation after

September 30, 2004, the commission, in addition to requiring contributions to the fund, shall require the postsecondary proprietary institution to submit a surety bond in an amount determined by the commission for an amount of time that represents the number of quarters required for the fund to initially accumulate one million dollars ($1,000,000) as determined under section 6 of this chapter.

570 IAC 1-14 Career College Student Assurance Fund

570 IAC 1-14-3 Fund contributions

Sec. 3. (a) The proper amount of a postsecondary educational institution’s fund contribution shall be calculated in accordance with IC 21-17-3-9.

(b)Upon receipt of a contribution from a school to the fund, the check shall be deposited into the fund within twenty-four (24) hours of receipt.

(c)Money in the fund not currently needed will be invested by the treasurer of the state.

(d)The treasurer of the state shall invest the money in a manner similar to the investment of other public funds.

(e)Any gains made from fund investments shall also be deposited into the fund.

(f)Fund proceeds do not revert into the general state fund.

570 IAC 1-14-4 Quarterly contributions

Sec. 4. Each postsecondary proprietary institution shall make quarterly contributions to the fund in compliance with IC 21-17-3-9. As used in IC 21-17-3-9, “total amount of tuition and fees” means gross income before depreciation, taxes, or amortization, less any student refunds required by this rule or by student contract.

570 IAC 1-14-5 Quarterly beginnings

Sec. 5. A new quarter will begin on each of the following dates:

(1)January 1.

(2)April 1.

(3)July 1.

(4)October 1.

Form Information

Fact Name Details
Purpose of the Form The Indiana State Form 51804 is used to calculate and process quarterly payments to the Career College Student Assurance Fund, providing indemnification for students affected by certain occurrences.
Submission Deadline Completed forms and payments must be submitted within forty-five (45) days after the end of the quarterly reporting period.
Governing Laws This form is governed by Indiana Code IC 21-17-3-9 and 570 IAC, which outline the requirements for contributions to the Career College Student Assurance Fund.
Quarterly Reporting Each postsecondary proprietary institution must report quarterly, with quarters beginning on January 1, April 1, July 1, and October 1.
Contact Information If there are any questions regarding the form, individuals can contact the Indiana Commission on Proprietary Education at (317) 232-1320.

Detailed Guide for Filling Out Indiana State 51804

Completing the Indiana State Form 51804 is essential for postsecondary proprietary institutions to report their quarterly earned tuition and make the required contributions to the Career College Student Assurance Fund. After gathering the necessary information, follow the steps below to accurately fill out the form.

  1. Print or type the information clearly on the form.
  2. Use a separate form for each campus location.
  3. Identify the reporting quarter by checking the appropriate box:
    • July 1 - September 30
    • January 1 - March 31
    • April 1 - June 30
    • October 1 - December 31
  4. Fill in the year for the reporting quarter.
  5. Provide the name of the contact person responsible for completing the form.
  6. Enter the daytime telephone number of the contact person.
  7. In Section B, input the owner's name (legal, partnership, corporate, or other entity name).
  8. If the owner is a sole proprietor, include the last name, first name, middle initial, and suffix.
  9. Provide the primary address, including the number and street, city, state, and ZIP code.
  10. Include the owner's email address.
  11. In Section C, enter the business trade name or DBA.
  12. Fill out the physical address (number and street, city, state, and ZIP code), ensuring no PO Box numbers are used.
  13. Provide the telephone number of the business location.
  14. Include the fax number of the business location.
  15. In Section D, report the total gross tuition/instructional fees received from Indiana residents this quarter.
  16. Report the total gross tuition/instructional fees received from out-of-state residents instructed within Indiana this quarter.
  17. Indicate the total value of refunds made this quarter to students from or instructed in Indiana.
  18. Calculate and enter the net tuition earned by summing Lines D1 and D2, then subtracting Line D3.
  19. In Section E, calculate the required FUND contribution by multiplying the net tuition earned (Line D4) by 0.1%.
  20. Include the additional required fee of $60.00.
  21. Sum the required FUND contribution and the additional required fee to determine the total payment for the quarter.
  22. In Section F, sign and date the form, certifying that the information provided is true to the best of your knowledge.
  23. Have the form notarized, including the printed or typed name of the notary public, the county of residence, and the date the commission expires.
  24. Submit the completed form and payment to the Indiana Commission on Proprietary Education at the specified address.

After filling out the form, ensure that all sections are complete and accurate. Timely submission is crucial, as payment is due within forty-five days from the close of the reporting period. If any questions arise during the process, contacting the Indiana Commission on Proprietary Education can provide clarity and assistance.

Obtain Answers on Indiana State 51804

  1. What is the purpose of the Indiana State Form 51804?

    The Indiana State Form 51804 is designed to facilitate the quarterly contributions to the Career College Student Assurance Fund. This fund aims to provide indemnification to students or enrollees of postsecondary proprietary institutions who may experience loss or damage due to specific occurrences outlined in the Indiana Code. Institutions must complete this form to report tuition earnings and calculate the required contributions to the fund.

  2. Who needs to submit the Indiana State Form 51804?

    Each postsecondary proprietary educational institution operating in Indiana is required to submit this form. A separate form must be completed for each campus location. Institutions must file the form quarterly, regardless of whether they collected tuition revenue during the reporting period.

  3. What information is required on the form?

    The form consists of several sections that require specific information:

    • Reporting information, including the contact person's name and telephone number.
    • Owner information, such as the legal name of the institution and the primary address.
    • Campus information, including the business name and physical address.
    • Report of quarterly earned tuition, detailing gross tuition received and refunds issued.
    • Calculation of the required contribution to the fund.

    All sections must be completed accurately to avoid delays in processing.

  4. When is payment due for the Career College Student Assurance Fund?

    Payment, along with the completed Indiana State Form 51804, is due within forty-five (45) days following the close of the quarterly reporting period. Institutions must ensure timely submission to maintain compliance and avoid penalties, including potential suspension or revocation of accreditation.

  5. What happens if an institution fails to submit the form or payment?

    Failure to remit the appropriate fees or submit the form may result in significant consequences for the institution. These can include the suspension or revocation of its accreditation to operate as a postsecondary proprietary institution in Indiana. It is crucial for institutions to adhere to the reporting requirements to ensure their continued operation and support for students.

Common mistakes

Completing the Indiana State Form 51804 can be a straightforward process if approached with care. However, there are common mistakes that individuals often make, which can lead to delays or complications. One frequent error is failing to print legibly or to type the information on the form. This can create confusion and may result in processing delays. Clear, legible writing is essential to ensure that all details are accurately recorded.

Another mistake involves not submitting a separate form for each campus location. Each campus must have its own completed form, and overlooking this requirement can lead to incomplete submissions. Furthermore, individuals sometimes forget to check the appropriate box for the reporting quarter. This oversight can cause significant issues, as it may not be clear which quarter the data pertains to, complicating the review process.

Inaccuracies in reporting financial figures are also common. For instance, some individuals miscalculate the total gross tuition or instructional fees received. This can lead to incorrect contributions to the fund, which may result in penalties or other complications. It is crucial to double-check all figures before submitting the form to avoid such issues.

Additionally, individuals may neglect to provide complete contact information, including the name and daytime telephone number of the contact person responsible for the form. This information is vital for any follow-up communication that may be necessary. Omitting it can hinder the ability of the Indiana Commission on Proprietary Education to reach out with questions or clarifications.

Another oversight occurs in the signature and certification section. Failing to sign the form or having the signature of the notary public missing can render the submission invalid. It is essential to ensure that all required signatures are present and that the notary’s information is complete and accurate.

Many individuals also overlook the requirement to remit payment within the specified timeframe. Payment is due forty-five days from the close of the quarterly reporting period. Missing this deadline can result in additional fees or complications regarding accreditation. Timely submission is crucial to maintaining compliance with state regulations.

Moreover, some people mistakenly assume that all sections of the form are optional. Every section must be completed to ensure that the form is processed efficiently. Incomplete forms can lead to delays in processing or even rejection of the submission.

Lastly, not reviewing the instructions thoroughly can lead to various errors. Each detail in the instructions is designed to guide the individual through the process. Ignoring these guidelines can result in misunderstandings about what is required, leading to mistakes that could have been easily avoided.

Documents used along the form

The Indiana State Form 51804 is a crucial document for career colleges, ensuring compliance with state regulations regarding the Career College Student Assurance Fund. Alongside this form, several other documents are often required to complete the reporting and payment process. Below is a list of these associated forms and documents, each serving a specific purpose in the overall process.

  • Indiana Tuition Report (State Form 49926): This form provides a comprehensive overview of the tuition revenue collected by educational institutions in Indiana. It is essential for ensuring that reported tuition aligns with the figures submitted in the State Form 51804.
  • Surety Bond Documentation: Institutions must submit a surety bond if they commence operations after a specific date. This bond guarantees financial security for the Career College Student Assurance Fund and protects students against potential losses.
  • Quarterly Financial Statements: These statements offer a detailed breakdown of the institution's financial performance over the quarter. They can provide additional context for the figures reported on the State Form 51804.
  • IRS Form 990: Nonprofit institutions may need to file this form, which provides the IRS with financial information about the organization. This can help demonstrate compliance with federal regulations.
  • Accreditation Documentation: Institutions must maintain and provide documentation of their accreditation status. This is often required to ensure that they meet educational standards set by the state.
  • Student Enrollment Records: Accurate records of student enrollment are necessary for reporting tuition revenue. These records support the figures reported on the State Form 51804 and help ensure compliance with state regulations.
  • Payment Confirmation Receipts: After submitting the required payment to the Career College Student Assurance Fund, institutions should retain copies of payment confirmation receipts. These documents serve as proof of compliance and can be useful for record-keeping purposes.

Understanding the importance of these associated documents can help institutions navigate the requirements set forth by the Indiana Commission on Proprietary Education. Staying organized and ensuring timely submissions will not only help maintain compliance but also protect the interests of students and the institution alike.

Similar forms

  • State Form 49926 - Indiana Tuition Report: This document is used to report annual tuition totals and is comparable to the Indiana State 51804 form in that both require detailed reporting of tuition amounts collected. The data collected in both forms should align, particularly regarding in-state and out-of-state tuition.

  • State Form 51805 - Career College Student Assurance Fund Annual Report: Similar to the quarterly form, this annual report summarizes the financial contributions made to the fund over the year. Both forms serve the purpose of ensuring accountability and transparency in financial dealings with the Career College Student Assurance Fund.

  • State Form 51806 - Career College Student Assurance Fund Exemption Application: This document allows institutions to apply for an exemption from contributing to the fund under certain conditions. Like the 51804 form, it requires detailed information about the institution's operations and finances.

  • State Form 51807 - Career College Student Assurance Fund Contribution Adjustment Form: Institutions can use this form to request adjustments to their contributions. It parallels the 51804 form in that it deals with the financial aspects of the fund and requires accurate reporting of tuition data.

  • State Form 51808 - Career College Student Assurance Fund Payment Confirmation: This form serves as a receipt for payments made to the fund, similar to how the 51804 form documents the contribution calculation and payment details.

  • State Form 51809 - Career College Student Assurance Fund Refund Request: Institutions may use this form to request refunds from the fund. Like the 51804 form, it involves financial reporting and compliance with state regulations regarding tuition and fees.

  • State Form 51810 - Career College Student Assurance Fund Compliance Verification: This document is used to verify compliance with the fund's requirements. It shares similarities with the 51804 form in terms of the need for accurate reporting and adherence to state guidelines.

  • State Form 51811 - Career College Student Assurance Fund Audit Report: This report is generated during audits of the fund and requires comprehensive financial disclosures. It is akin to the 51804 form as both focus on the financial integrity of educational institutions.

  • State Form 51812 - Career College Student Assurance Fund Financial Statement: This document provides a financial overview of the fund's status. It parallels the 51804 form in that both require institutions to provide clear financial information related to tuition and fees.

  • State Form 51813 - Career College Student Assurance Fund Enrollment Report: This form tracks student enrollment figures and their relation to tuition revenue. Similar to the 51804 form, it emphasizes the importance of accurate data reporting in the context of financial contributions to the fund.

Dos and Don'ts

When filling out the Indiana State 51804 form, consider the following dos and don'ts:

  • Do print legibly or type all information on the form.
  • Do ensure that each campus location has a separate form submitted.
  • Don't forget to submit the form and payment within forty-five (45) days of the reporting period's close.
  • Don't leave any applicable questions unanswered, as this may cause delays.

Misconceptions

Understanding the Indiana State 51804 form can be challenging, and misconceptions can lead to mistakes in the submission process. Here are eight common misconceptions clarified to help you navigate this form more effectively.

  • The form is only for new institutions. Many believe that only newly established institutions need to submit the Indiana State 51804 form. In reality, all postsecondary proprietary institutions operating in Indiana must submit this form quarterly, regardless of when they began operations.
  • All sections of the form are optional. Some may think that completing only certain sections is sufficient. However, every section of the form must be filled out completely to ensure proper processing and avoid delays.
  • Payment is not required if no tuition is collected. There is a misconception that if no tuition revenue is earned during a quarter, no payment is necessary. While the required contribution may be minimal in such cases, the additional required fee must still be submitted.
  • The form can be submitted at any time. Many assume that submission deadlines are flexible. In fact, the completed form and payment must be submitted within forty-five days from the close of the reporting period to remain compliant.
  • Only Indiana residents are counted for tuition reporting. Some may think that only tuition from Indiana residents needs to be reported. However, the form requires reporting tuition from both Indiana residents and out-of-state students who are instructed within Indiana.
  • Notarization is not necessary. A common belief is that notarization of the form is optional. In truth, the form must be signed and notarized to validate the information provided.
  • Payment methods are not specified. Some individuals might think that they can pay the required fees in any manner. However, the instructions specify that payments must be sent directly to the Indiana Commission on Proprietary Education, and it is essential to follow their guidelines for payment methods.
  • The form is the same for all campuses. It is a misconception that one form can cover multiple campus locations. Each campus must submit a separate Indiana State 51804 form to ensure accurate reporting and compliance.

By understanding these misconceptions, institutions can better prepare to complete and submit the Indiana State 51804 form correctly and on time. This not only helps in maintaining compliance but also supports the integrity of the educational system in Indiana.

Key takeaways

  • Fill out the Indiana State 51804 form clearly. Use either a typewriter or print legibly to ensure all information is readable.

  • Each campus location must submit a separate form. Do not combine information from multiple campuses on one form.

  • Payments are due within forty-five (45) days after the end of each quarterly reporting period. Be mindful of deadlines to avoid penalties.

  • Send the completed form along with the payment to the Indiana Commission on Proprietary Education at the specified address in Indianapolis.

  • If you have questions or need assistance, contact the Commission directly at (317) 232-1320.

  • Section D of the form requires reporting tuition earned from both Indiana residents and out-of-state residents taught in Indiana.

  • Refunds issued to students must be reported in Section D. This impacts the net tuition calculation.

  • The required contribution to the Career College Student Assurance Fund is calculated as 0.1% of net tuition earned, plus an additional fee of $60.

  • Ensure all sections of the form are completed. Missing information can delay processing and crediting your account.

  • Failure to submit the appropriate fees may lead to suspension or revocation of accreditation for your institution.