Along with supporting documents, fax the form to 612-321-3786. We have identified the following overpayment and are in good faith voluntarily refunding all monies collected in error.Please download the form, complete each field and print. Include the form with your refund so we can properly apply the refund and record the receipt. How do I set up Coordination of Benefits? To set up the coordination of benefits, you will need to contact your insurance company. Hennepin County District Court. The Violations Bureau handles in-person fine payments and answers questions about tickets.