Laundry Refund Request Form 2019-2020
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 ($)
$1.75 (one load)
$3.50 (two loads)
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
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.