LionCash+ Refund Request Form

Refund Policy

Requests for refunds will only be granted to students upon graduation or withdrawal from the University. Students may also request a refund at the end of spring semester. Faculty and staff may obtain refunds upon request at any time. All requests for refunds upon graduation, withdrawal from the University, or termination of employment by the University must be received within ninety (90) days of graduation, withdrawal, or termination. Any funds left in an account longer than ninety (90) days are forfeited and become the property of the University. Refunds will only be issued via a check made payable to the cardholder and will be mailed to the permanent home address on record.

Check appropriate box *

Student

Faculty/Staff

Cardholder Name *

E-mail *

University Access ID *

abc1234

Telephone Number *

(###) ### - ####

Permanent Address *

As listed in LionPATH

Date of graduation or withdrawal from University *

Year

Month

Day

Refund Amount* *

Entire account balance

Specified amount $

Refund Amount* Specified amount $

Legal signature *

Yes

I understand checking this box constitutes a legal signature confirming I acknowledge and agree that a $10 processing fee will be deducted from each refund. In addition, all University debts must be satisfied prior to a refund being processed.

Leave this field blank