University of Wisconsin - Stout

ACCOUNT CLOSURE REQUEST FORM

No reimbursement of funds will be given for cancellation of the CampusWide Debit Account for registered students and current employees except for participants officially withdrawing from the University or upon termination of employment.

These instances will be verified prior to closing the debit account. All requests must be submitted in writing and are subject to any outstanding balances on the University Fee Account. There is a $10.00 processing fee.

If there are any questions, please email campuscard@uwstout.edu or call (715) 232-2887 (choose option 2) during regular office hours.

All refunds will be processed based on current preference selected. (Note: log onto www.uwstoutone.com to check preference selection and to verify mailing address, if applicable.)

Name :
University ID# :
Street :
City :
State :
Zip :
Home Phone :
Birthdate :
 (mm/dd/yyyy)
SSN :
 (Last 4 digits)
 
UW-Stout Email :
(note: requires a campus (@uwstout.edu) address.)
Date :

 

Looking for the PDF form? Click here!

Refunds may take up to 3 weeks after semester ends to process. Check the status of your refund at www.uwstoutone.com.