Laundry Refund Request Form
Please complete this form to request a refund of laundry fees due to malfunctioning equipment.
Email address *
Name (Last, First) *
Your answer
GU ID *
Refunds will be made to the user's GOCard. Please include entire 9 digit number without spaces.
Your answer
Date of the Loss *
MM
/
DD
/
YYYY
Laundry Room Location *
Washer/Dryer Number (1) *
Your answer
Washer/Dryer Number (2)
Your answer
Washer/Dryer Number (3)
Your answer
Amount Loss ($) *
Your answer
Dryer Problem
Washer Problem
Brief Description of the Occurrence
Please provide additional information below that may assist in responding to your request.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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