Laundry Refund Request Form
Please complete this form to request a refund of laundry fees due to malfunctioning equipment.
Name (Last, First)
Refunds will be made to the user's GOCard. Please include entire 9 digit number without spaces.
Date of the Loss
Laundry Room Location
Ryan Hall & Isaac Hawkins Hall
SWQ - Kennedy/McCarthy/Reynolds Hall
Village C East
Washer/Dryer Number (1)
Washer/Dryer Number (2)
Washer/Dryer Number (3)
Amount Loss ($)
No heat/cold air
Dryer wouldn't start
Multiple cycles to dry
Water didn't dispense
Dirty water dispensed into machine
Clothes didn't spin
Washer did not start
Soap didn't dispense
Other - Please provide description in "description" space below.
Brief Description of the Occurrence
Please provide additional information below that may assist in responding to your request.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Georgetown University.