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Course Materials and Services Fee Proposal Form
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Return completed forms to CMSFandMiscFee@bap.ucsb.edu
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Section 1: Department and Contact Information
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School/College
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Department/Unit/Program
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Department Contact
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Email Address
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Phone Number
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Section 2: Course and Program Information
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Course ID and Title
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Enrollment Code/Session
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What Quarters Will This Fee Be Assessed?
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Course is a/n Undergraduate Course
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 Graduate/Professional Course
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Course is Part of Department’s Core Curriculum Yes
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 No
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 Other (describe):
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Approximate Total CMSF Cost for a Major to Complete Required Department Courses $
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Maximum CMSF Cost to Major in this Department $
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CMSF Account-Fund-Project Code or Cost Center
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CMSF BARC Code
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Section 3: Proposed Action
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 Establish New Fee1Amount of new fee: $
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 Increase Existing Fee1Current fee: $
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Fall Quarter in Which Rate Will Begin:
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1UCOP and campus policy require that any fee increases be moderate and gradual. CMSFs that accrue surplus balances in a given year are ineligible for future increases until surplus is resolved.
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Section 4: Fee Detail Calculation
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Description of Materials Provided[1][2]Rationale and Computation[1][2]Amount
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 $ -
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 $ -
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 $ -
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 $ -
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 $ -
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 $ -
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TOTAL ANNUAL EXPENSES
 $ -
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Number of Sections (annually) 0
Total Expense Per Section
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Avg # of Students Per Section 0
Expense Per Student
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Total Enrollment 0
Proposed Fee Per Student3
 $ -
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Dept Share of Expense Per Student
 $ -
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Shaded areas contain formulas
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DO NOT MODIFY GRAY FIELDS
TOTAL ANNUAL FEE REVENUE
 $ -
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REMAINING ANNUAL DEPARTMENT EXPENSE
 $ -
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(debit)
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1Cost elements must comply with the definitions in DA 2559 and the Guidelines for Implementing Course Materials and Services Fees
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2If personnel cost is included, also must compete "Section 4.2 Course Materials Fee Proposal Rationale for Personnel Cost" on second tab.
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3Per UCOP policy, the proposed fee per student should not exceed total expense per student.
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Section 5: Annual Financial History (for Existing CMSFs Only)
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ANNUAL FEE REVENUE HISTORYActuals
2019-20		Projected
2020-21		Projected
2021-22
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Number of Sections000
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Avg # of Students Per Section000
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Total Enrollment000
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Course Fee Per Student$0.00 $0.00 $0.00
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Total Course Fee Revenue$0.00 $0.00 $0.00
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LESS: Revenue Lost from Fee Waivers$0.00 $0.00 $0.00
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LESS: Revenue Lost from Unpaid CMSF$0.00 $0.00 $0.00
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PLUS: Revenue Gained from CMSF in Collections
$0.00 $0.00 $0.00
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Net Fee Revenue$0.00 $0.00 $0.00
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ANNUAL EXPENSE HISTORY - ITEMIZE EXPENSES
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$0.00 $0.00 $0.00
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$0.00 $0.00 $0.00
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$0.00 $0.00 $0.00
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$0.00 $0.00 $0.00
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$0.00 $0.00 $0.00
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Total Materials Expense$0.00 $0.00 $0.00
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Dept. Share (net fee revenue LESS total materials expense)
$0.00 $0.00 $0.00
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Section 6: Additional Details
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1. Provide a brief description of the materials, tools, services, or special supplemental educational experience that will be covered by the proposed fee or fee increase. (If staff cost is included, also must compete Section 4.2 "Course Materials Fee Proposal Rationale for Personnel Cost" on second tab)
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2. What is the supplemental academic benefit to the students paying the fees? Demonstrate that there is a reasonable relation between the fee and the benefit to the student.
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3. What are the consequences if the proposed new fee or fee increase is denied or if it is approved for only a partial or lesser amount?
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4. If this is a new fee, what resources have been used in the past to cover the associated expenses?
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5. If this is an increase to an existing fee, describe what has changed to require this increase.
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6. Why is it being proposed that the students bear the costs?
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7. What alternatives have you considered to establishing a course materials fee?
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8. What would be the full cost impact on each student taking the course? Itemize all costs including books, course material fees and other student out-of-pocket costs for the course.
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9. Fees should be assessed by departments after course enrollment stablizes, typically after the most common add deadline. If a different assessment date is more appropriate for this fee, please explain.
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10. See UCSB CMSF Guidelines for "Student aid and waivers" (section 2.b.v) for guidance on granting CMSF waivers. Departments may request additional criteria to be considered for granting waivers. Please detail additional criteria.
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11. See UCSB CMSF Guidelines for "Billings and refunds" (section 2.b.vii) for guidance on granting refunds. If a different refund schedule is needed, please detail the conditions and schedule. Relate the refund determination to the nature of the materials and supplies described in Section 4.