Copy Print Refund Request

In the unfortunate chance that you experience an error…

At a KCash terminal with loss of money
Receiving unusable copies or prints
Any other event that results in unusable pages or loss of funds

…then please fill out our Refund Request Form below. All transactions are tracked by card number and name as well as the currency input to the devices so we can determine the status of your account.

Requested By

First Name

Last Name

Requested For

First Name

Last Name

KSU ID

Guest Card ID, if applicable

Asset Tag Number

[Example: NSxxxx (Asset Tags are located on the front of the printer)]

Printer Location

Alternative Phone Number

Email Address

Transaction Date & Time

:

Was this a color or black and white print job?

Is the request for a single or multiple print attempt(s)?

Was this a single-sided or two-sided print attempt?

How many of the pages of the print failed?

Refund amount $

Problem or reason for refund

Please provide details regarding the printing issue you encountered.