Refund Request Form

This form is to request a refund or review of a specific Unicard transaction at unattended locations (printers and photocopiers). You must keep proof (e.g., a bad printing job) until we have completed the transaction review process.

If you have a dispute regarding a retail operation, speak with the staff member(s) at that location to assist you in resolving the situation.

All refunds are issued to the same Unicard account as the original transaction with no exceptions. You can .

1
Current: Contact Information
2
Transaction Information
3
Agreement

Email address

Unicard number

Unicard or UCID number (printed on the front of your card) which was used for the transaction being reviewed.

Cardholder's Name

Name of cardholder requesting a refund

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.

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Refund Request Form

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