Personal Information

*UMID #:	(8 digit number)	*Student Name:	(First and Last name)
*Requester's Name (if not student:)			(First and Last name)

Contact Information

*Email Address:		*Phone:	(Example: 734-764-7447)
*Required Fields

Refund Information

Amount of Refund:

(Example: 1000.00)

Refund Method

A refund can be direct deposited, mailed, or picked up in person at the UM Cashier's Office:

• Direct Deposit

This is the preferred method for refund processing. In order to have your refund direct deposited, you must have a valid direct deposit authorization on file with the U of M Payroll Office. If you have received direct deposits of financial aid refunds and/or UM payroll checks in the past and your bank account is still active, you are eligible for direct deposit. If you have a direct deposit authorization on file with Payroll and would like your refund direct deposited, please select "Direct Deposit" in the refund method box above. (Please note: Even though you may have direct deposit information on file with the payroll office, you may elect to have a check mailed by selecting "US Mail" for the refund method and entering the mailing address below.)

• US Mail

If you would like a refund check mailed to you, please select "US MAIL" in the refund method box above and enter the complete mailing address below:

Address:
City:		State:	Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming	Zip:

• In Person/Cashier's Office

In person refunds can be picked up from the Cashier’s Office located at 777 N. University, 2nd Floor Office Suite (hours: Monday through Friday 8 am to 4 pm). Once you receive the email from our office confirming that your refund has been processed, you may visit the Cashier's Office to obtain your refund. You will be required to present the teller your MCard (student ID) to obtain your refund check.

If you are interested in direct deposit for future student account refunds, please visit the UM Payroll Office web site and select "Direct Deposit Authorization Form".

Comments/Additional Instructions:

If you would like to keep a copy of this request for your records, please use the printer icon on your browser to print this page out prior to selecting the "Request Refund" button below.