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Request for Refund of Fines or Fees

This request for the library to refund charges must be received within 90 days of the billing date. Requests will be reviewed by Library Administration. Please allow 30 days for processing.
Borrower's Information:
Name
UF Email address (eg: email@ufl.edu)
Check 'Yes' to have a copy of this form emailed to you. (Must provide email address above).	Yes
UF-ID
Library Card #
Description of charges being appealed:
Explanation of the extraordinary circumstances why the charges should be waived or adjusted:
Initials
Date (mm/dd/year)

If you would prefer to mail this information in order to submit substantiating documentation, please print this page and mail it to:	George A. Smathers Libraries University of Florida PO Box 117000 Gainesville, FL 32611-7000 Fax: 352-392-7251

University of Florida