Fillable Form Ogc-Sf-2005-01 - Vending Refund Policy And Request Form printable pdf download

Form Ogc-Sf-2005-01 - Vending Refund Policy And Request Form

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Form No. OGC-SF-2005-01

Vending Refund Policy

The University of Houston’s Business Services Department manages the contracts for Lone Star Ice

Cream, Inc., Canteen, and Houston Coca Cola Bottling Company.

It is our policy that:

•

Any refund request submitted may be subject to review at our discretion. Refund reviews will

be conducted by the vending contractor and the outcome referred to Vending Services within

the Department of Business Services for a final decision.

•

Refund requests may be submitted for up to five (5) days past the stated date of loss.

•

Each item must be submitted on a single form, no bundling or claims for multiple days will be

honored by the Cashier’s Office.

•

All required fields of information must be completed or the refund will not be referred for

review.

•

Barring unforeseen circumstances, refund decisions should be made available within one to

four (1-4) business days past the completion date of the form.

•

Proof of identification (i.e. a UH identification card or other form of recognized picture

identification such as a Driver’s License or Passport) will be required to submit a refund

request.

Certification of Claim

I certify that the refund request I have submitted is accurate and true as stated.

I further acknowledge that if a review determines that this refund was not valid, that upon notification,

I will return the refunded portion to the Business Services Department. Failure to comply may result

in all available remedies being exercised, including but not limited to legal prosecution.

Please complete the refund request on the reverse side of this form.

Signature of Refund Requestor:

___________________________________________

Name (printed):

___________________________________________

Date:

___________________________________________

Please complete the refund request on the reverse side of this form.

Note: Modification of this Form requires approval of OGC

Standard Form Approved

Office of the General Counsel

by the University of Houston System

Campus Vending Refund Policy & Request Form

OGC-SF-2005-01 Revised 09.01.06

Office of the General Counsel

Page 1 of 4

Office of Contract Compliance

Form Ogc-Sf-2005-01 - Vending Refund Policy And Request Form

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