Request a Refund
Use this form to submit requests for refunds from Pay-for-Print devices. Providing as much detail as possible will speed up the refund process.
Contact Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
G-Number
*
Email
*
example@example.com
Location
Device Type
*
Pay-for-Print Device
Photocopier/Multi-function Device
Other
Pay-for-Print Device ID
The Device ID is located on the Device Identification Card on the front of the machine.
Date and Time Problem Occurred
Date
-
Month
-
Day
Year
If you are unsure of the exact date, please select a day for this field and specify in the description below the range of dates the transaction(s) may have occurred.Date
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Payment Information
How was the job paid for?
Mason ID
Mason Money Patron Card
Other
Job Details
Number of pages lost
Output type
Black and White
Color
Both Black and White and Color
Output Format
Single-sided
Double-sided
Both single-sided and double-sided
Reason for refund
Briefly describe the problem you experienced, including any date and/or time ranges you were unable to mention above. The more detail you can provide, the easier it will be for our technicians to verify the charges and issue the refund. Be sure to mention the application(s) you were using (Google Chrome, Microsoft Word, etc). If the document or resource was available online and you can legally do so, please provide a URL or method to find the document so our technicians can duplicate the problem.
Submit
Should be Empty: