OneCard Balance Refund Request Form Due To Inactivity

Fields with asterisks (*) are required.

BANNER ID #

Access ID

Social Security # *

First name *

Last name *

Email *

Address line 1 *

Address line 2

City *

State/province/region *

Postal/zip code *

Country *

Phone Number *

Birth Date *

OneCard Balance Action

Select One *

REFUND – I am no longer a student or employee and would like my balance refunded to me. I understand that my account will be closed and only reactivated if I return as an active student or employee. I am also aware that an administrative fee will be deducted from my refund per the OneCard Account Terms and Conditions.

FUNDS TO REMAIN – I am a current/active student, employee, or alumni and want my funds available on my OneCard for my use

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