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Please fill out the form below to request a Pay-to-Print refund.

First Name *

Last Name *

Email *

Phone *

Date Problem Occurred *

Month

Day

Year

Location *

Amount Lost ($) *

Ohio State ID # *

8- or 9-digit number found on your BuckID.

BuckID # *

16- or 19-digit number starting with 600908.

Problem Description *

I hereby verify that all information on this form is true and correct to the best of my knowledge. *

UniPrint

2500 Kenny Road | Columbus, Ohio 43210

Phone: 614-292-3450 | Fax: 614-292-4799