ReCap ID Number:
Today's Date:
Last four digits of SSN:
Your Name:
Your email address:
Your Contact Number:
Reason for Request (Please choose only one)
Your Support Aide:
Amount Requesting:
T.O.R.N. (Tapped Out Request Need)
IMPORTANT FUNDING NOTICE ALERT
As of February 1, 2010 students are only allowed to request up to 75% of their total available account balance. Under the new funding
system, Netspend charges a transaction fee of $5.95 per transaction. ReCap will pay 50% of this fee while students are responsible for the
remaining balance which will be deducted from their available account balance. Log into your Student Account to view your available
balance. If you have any questions or experience problems with your request, contact Student Support.
ReCap Moneycards supplied by
        Netspend
ReCap Program - P.O. Box 475, Dolomite, AL 35061 - © 2010 Renewed Hope Ministries Inc
| Main Office - (205) 426-8140 | Email - edu.support@rhmonline.org |