Refund Request Form

Part 2: Refund Request
For all students, refunds will be available within 30 calendar days of the refund request. However, any students leaving the USA or with a permanent address in a foreign nation should allow extended delivery time, as the refund check may be delivered within 10 to 15 business days, depending on the country and region of the desired mailing location. While every effort will be made to mail refunds and other information in a timely manner, Reformed University is not responsible for delivery of any refund or other material sent to addresses outside the USA.
Refund Type Requested:*

Tuition CreditsRefund to your original payment methodDirect Deposit (Your refund directly will be deposited into your checking account)Mailed Check (Your refund check will be issued to the mailing address listed below)
If you select "Direct Deposit "
If you select "Mailed Check", home address to which the refund check should be mailed:
Any Comment and Suggestion
Terms and Conditions
- By signing below, I certify all information is true and correct to the best of my knowledge.
- I agree with the Reformed University Refund Policy
- I agree with the refund amounts.
Signature Date*

MonthDayYear
Date
Student Signature*

Clear
Should be Empty:

Part 1: General Information