Fillable Request For Revenue Refund 02.08.18

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Request For Revenue Refund 02.08.18

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The Request For Revenue Refund 02.08.18 form is 1 page long and contains:

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  • 3 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

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CASHIERS USE ONLY
REFUND SENT TO:
Check
Credit Card
Bank Mobile
Pay Outstanding AR
GIVE CHECK TO CASHIERS
UNIVERSITY OF WEST FLORIDA
REQUEST FOR REVENUE REFUND
Vendor/Payee Information:
UWF STUDENT UWF EMPLOYEE INDIVIDUAL
Banner/UWF ID#
Name:
Address:
City: State: Zip Code: Phone:
UWF Requester:
Name: Campus Ext:
Department: UWF E-mail:
DEPARTMENT MUST COMPLETE BOXES 1-4
Reason for refund:
I certify that this is a proper and valid refund and all information is factual and accurate.
Signature of Requester: Date:
Approved for Department by: Date:
Print Name: EXT:
Cashiers’ Office Use Only
App
roved by:
Comment:
Cashier Date Stamp
BANNER INDEX
NUMBER
BANNER ACCOUNT
CODE
DETAIL CODE
AMOUNT OF
REFUND
CASHIER USE ONLY
USER ID:
SESSION#
TOTAL AMOUNT OF REFUND REQUEST
If payment was not receipted in Cashier's Office, please attach proof of payment.
$ 0.00
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Request For Revenue Refund 02.08.18

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Completed 25 February 2020

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