Your letter must include your name, address, Social Security number, and why you disagree with the determination. THIS FORM MUST BE SIGNED AND RETURNED WITH PROOF OF TAX PAYMENT TO: San Bernardino County,.Fill out the request for a refund letter addressed to the Orange County Superior Court on your company's letterhead. A claim for refund is a request for reimbursement of amounts previously paid. Generally, if you have paid your balance in full you will file a formal claim. The CalFresh office has many ways of collecting overissued (overpaid) CalFresh benefits. Fill out the refund form (PDF) online. After San Bernardino Valley College determines the withdrawal date for a student who completely withdraws an R2T4 calculation will be completed within 30 days. You have been sent a Notice of Action letter that advised you of reason for the overpayment and the amount you were overpaid. We have identified the following overpayment and are in good faith voluntarily refunding all monies collected in error.