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Get Refund Request - University Of Oklahoma

Om (Box 2) Payee Name and Address (Box 1) Dept No. State Source Acct Code Amount Total Special Instructions (Box 3) Information from Original Deposit (Box 4) Dept No. State Source Acct Code Amount Reason for Refund (Box 5) Journal ID Sponsor Approval Date Ref No. Date of Deposit FS Approval Date This form must be used for refunding money that has been paid to the University for fees, tickets, classes, etc. *****This form should not be used for reimbursement requests or Student.

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