Authorization for an Incomplete (I) 

UNIREG 720 

A grade of I (incomplete) is a temporary grade assigned in those rare instances when, in the judgment of the faculty member, no other grade will insure justice to the student. To request an incomplete, the student must submit this form prior to the end of the final exam period (please note that some instructors may require that the request be submitted prior to the final exam). It is the decision of the Instructor whether or not an Incomplete will be assigned. 

If an incomplete is assigned by the instructor, it must be removed by assignment of a final grade normally within a period of time not to exceed 120 days from the end of the semester in which the incomplete was received. If a grade is not assigned and received in the Office of the Registrar within the time established, a grade of F will be recorded to replace the temporary grade of I. If, in the judgment of the instructor, a student has suffered a problem that has precluded timely completion of required work, the 120-day limit for completing the course may be extended with the approval of the instructor (please use the Extension of Incomplete form). All existing grades of I must be removed with a grade prior to the desired date of graduation unless the course involved is not required for graduation.


*Indicates a required field

*Students First Name   Students Middle Name   *Students Last Name

*Students SSN 0r W Number *Students EMail Address

*Instructor EMail

I request that a grade of I be assigned for the following course:

*Course Prefix * Course Number *Course Section Number

 *Course Title        *Instructor Name


You are responsible for tracking the progress of your petition using the confirmation number received once you have submitted your petition. Therefore, you may find it useful to print out the completed form for the tracking number and for your own personal records. The electronic petition process can involve contacting a number of faculty/staff members. For this reason please allow up to two weeks processing time for your petition.


I understand the applicable UNIREG and agree to fulfill the conditions established by my instructor for assignment of a grade.  Further I certify that the information I have provided is correct to the best of my knowledge. If my request is accepted, I agree to abide by the policies, rules and regulations of the University of Wyoming. I further understand that the information submitted herein will be relied upon by the Officials of the University in determining my request and that the submission of false information is a violation of Federal and State Law. WITHOUT CORRECT CERTIFICATION THIS REQUEST WILL NOT BE PROCESSED.

*Select Yes for Certification


To be completed by Instructor if the Student Request is approved:

1.  A grade of Incomplete is assigned to the above student for the following reason(s):

2.  To receive assignment of a final grade and remove the Incomplete, the following tasks must be completed for evaluation by me of the faculty member designated if I am not available to make an evaluation:

3.  The above task/s must be submitted to the instructor on or before: (The 120-day period is computed from the last day of the semester or term during which the course was taken.  to permit time for grading and the filing of an Incomplete Removal Form within the approved time period, instructors should establish an earlier completion time.)

4.  The Removal of Incomplete form must be filed with the Office of the Registrar no later then (Month, Day, Year) or will be reverted to an F.

5.  If the instructor is not available upon completion of the assigned task, submit the assigned work to: (Substitute instructor or head of department)

6.  If this is a research course certified by your Dean for continuation of work beyond the 120 days, place and X here .

     Please note that a specific completion date must be assigned; however, the date may exceed the 120-day time limitation.

Instructor initials here signifies consent:  Date:


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