Retroactive Withdrawal Request

The College of Letters & Science policy is that students must withdraw (withdrawal indicates that a student intends to stop attending classes for the current term/semester) from the term by the end of the 12th week of classes during the fall and spring terms. Students may not withdraw after the 12th week except in extremely unusual circumstances, and only with the approval of an academic dean.

If you are trying to withdraw from the term currently in session, please complete the following form:

Late Withdrawal Request

A RETROACTIVE withdrawal is one that is requested AFTER the term has ended. If the term you are hoping to withdraw from occurred prior to the current term, please complete the form below.

Please note that the summer term withdrawal deadlines are usually the end of the three-quarters of the session, extended to the following Friday. For example:

For a student enrolled in a three-week summer term, the withdrawal deadline is the same as the drop deadline (the end of the 2nd week on Friday).
For a student enrolled in a four-week summer term, the withdrawal deadline is the same as the drop deadline (the end of the 3rd week on Friday).
For a student enrolled in a six-week summer term, the withdrawal deadline is the end of the 5th week on Friday.
For a student enrolled in an eight-week summer term, the withdrawal deadline is the end of the 6th week on Friday.
See the Summer Key Deadlines and what does it mean to withdraw from the university for more specific details.)

To request a late withdrawal, you must BOTH

  • submit the completed Late Withdrawal or Retroactive Withdrawal Request form AND
  • schedule an appointment to meet with an academic dean.

Please call L&S Undergraduate Academic Deans' Services at (608) 262-0617 to schedule an appointment to speak with an academic dean AFTER you have completed the Retroactive Withdrawal Request Form and submitted it.

A student MUST first read through the WITHDRAWING FROM UW-MADISON and Canceling Your Enrollment- Withdrawals information and THEN fill out the the information requested in the form below. Please note that in order to obtain a withdrawal after the official deadline, it is important that an individual provides strong documentation of verifiable circumstances beyond a student's control which prevented the student from withdrawing in a timely manner. Extenuating circumstances should have occurred and can be well documented. Examples of documentation that should be provided are as follows:

Death of a family member or friend

  • Obituary or death certificate
  • Letter from counselor
  • Documentation should include date and indicate relationship to the deceased

Family Issues

  • Letter from therapist or counselor
Medical Issues (serious illness, hospitalization, mental health, change in health status)
  • Letter from doctor with advised period of recovery
  • Record of doctor visits
  • Hospitalization records
  • Copies of medical bills documenting illness/injury
  • Letter from doctor, therapist, or counselor

Please feel free to provide written feedback from your instructor(s) regarding your class participation and academic performance if you believe this information would be helpful to the academic dean reviewing your situation. 

Providing documentation is not a guarantee that a student's request to withdraw or retroactively withdraw will be granted. Earning a poor grade in a course (or courses), not being aware of deadlines, or not receiving feedback on examinations until after the deadline are a few examples that are not considered strong reasons for obtaining a withdrawal after the deadline. Students on F1 or J1 visas should consult with International Student Services to determine whether they are eligible to withdraw after the official deadline.

This form must be submitted at least 24 hours in advance of your appointment with an academic dean. If we have not received the form at that point, we will ask that you reschedule your appointment.

After filling out the form below, a student must call the L&S Undergraduate Academic Deans' Services at (608)262-0617 to schedule an appointment to speak with an academic dean. Please note that a student will not automatically get an appointment to speak with an academic dean just by filling out the form below.

Please make sure that you print a copy of the information - before you hit "SUBMIT" - to keep for your records.**

 

Retroactive Withdrawal Request

Full Name:*
Campus ID Number*
Email Address (@wisc.edu addresses only)*
Telephone number (please include area code)*
Classification**
              
Year in School**
          

Are you an F1/J1 Student Visa Holder?**
    

If yes, please consult with International Student Services to review any effects withdrawing may have on your visa status.


Are you a student athlete?**
    

If yes, please contact your advisor in the Athletic Department before you meet with an academic dean.


Are you using any financial aid that may be affected by your withdrawal from a past term?**
    
From which term do you want to withdraw? (Note that your requests for a retroactive withdrawal should be made no later than the semester immediately following the impacted semester.)*
What circumstances prevented you from withdrawing the class(es) by the withdrawal deadline OR prevented you from completing the term? (You will have the opportunity to discuss your situation and share supporting documentation in more detail during your individual meeting with an academic dean.)*

Did you take the final (or turn in a final paper) for any of your classes?**
    
If yes, which ones?

Briefly describe the factors you have considered as you decided to request a retroactive withdrawal.*
Have you spoken with your instructor(s) or advisor(s) as you made the decision to request a retroactive withdrawal?*
Can you document or verify the situation you describe? Will you be able to provide this documentation during your meeting with an academic dean? (You may, if necessary, provide documentation after your conversation with a dean. Please note that this may delay a decision.)*
Security Check: In order to cut down on spam, please check the following box.*

In addition to submitting this form, you must also call (608) 262-0617 to schedule an appointment with an academic dean. Please note that a student will not automatically get an appointment to speak with an academic dean just by filling out the form.

Before your hit "SUBMIT" be sure to print a copy of the information to keep for your records.