The image is a photograph of the pink "Printing Problem Refund" paper form.
Printing Problem Refund Form
- Student Name (last, first, middle):
- ID#:
- Phone#:
- Student Signature:
- Consultant:
- Date:
- Time:
- Lab:
- Name of Print Job:
- Explanation of printing problem:
Pages Must Be Attached to this form (or No Refund)
Printer / UniPrint Problems:
- [] Number of 8.5x11 Color Pages Lost @ $1.00 each = Total Cost
- [] Number of 11x17 Color Pages Lost @ $2.50 each = Total Cost
- [] Number of 8.5x11 B&W Pages Lost @ $0.05 each = Total Cost
For any of the problems listed above, leave this form in the lab to be collected.
Once this form has been processed and verified, the student will receive information on the appropriate refund. The Computer Lab Coordinator, Rick Brill is responsible for resolving all refund requests.
Contact information:
- email rbrill@d.umn.edu
- phone: 726-7031
- Office Kplz 146b
Cash-to-card Machine Problems?
- [] Money lost in cash-to-card machine? Total Amount:
If the student lost money in the cash-to-card machine, they should fill out this form and bring it yo Greg Sather in DADB 209 during business hours (Mon-Fri, * AM - 12 PM; 1 PM - 4 PM) Greg can also be reached at 726 -6137 or gsather@d.umn.edu
rev 09.07