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It serves as a standardized administrative instrument used by university departments to request financial reimbursements for student accounts. The form requires detailed information including the student's name, Panther ID, specific accounting codes such as Department ID, Account Number, Fund, Program/PCS Code, and the specific reason for the requested refund. To ensure financial integrity, the form mandates the attachment of original deposit receipts and supporting documentation, while requiring two distinct authorized signatures from the requester and the department head or manager. 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Maidique Campus PC 120 ▪ Miami, Fl 33199  \nREVENUE REFUND INVOICE  \n\n| PLEASE ATTACH ORIGINAL DEPOSIT RECEIPT AND SUPPORTING DOCUMENTS OF ORIGINAL PAYMENT\u003Cbr>REFUNDS WILL BE CREDITED TO THE STUDENTS ACCOUNT\u003Cbr>AUTHORIZED SIGNATURE MUST BE DIFFERENT THAN THE REQUESTOR |  |\n| --- | --- |\n| Department Name:   Date:  \u003Cbr>Requestors Name:   Extension:  \u003Cbr>Dept Head/Manager Approval:   Signature:   |  |\n| Student Name:   Panther ID:  \u003Cbr>Address:   Contact Number:  \u003Cbr>City, State & Zip   |  |\n| Refund Amount:\u003Cbr>Department ID:\u003Cbr>Account Number:\u003Cbr>Fund:\u003Cbr>Program/PCS Code:\u003Cbr>Activity Number:\u003Cbr>Site/Class:\u003Cbr>Reason for Refund: |  |\n| DO NOT WRITE BELOW THIS LINE |  |\n| Processed By:   Signature:  \u003Cbr>Date:\u003Cbr>Form Revised 7-7-2014 |  |","cbCaidBK1VQF8k9u","https://ap.wps.com/l/cbCaidBK1VQF8k9u","pdf",70128,"English","# Refund Request Procedures\n## Department and Requester Information\n## Student and Financial Details\n## Authorization and Processing","[{\"question\":\"What documents must accompany the Revenue Refund Form?\",\"answer\":\"You must attach the original deposit receipt and any relevant supporting documents related to the original payment to the form.\"},{\"question\":\"Who is authorized to sign the Revenue Refund Form?\",\"answer\":\"The form requires two signatures: the requestor and a separate department head or manager who acts as the approver.\"},{\"question\":\"Where should the refund be credited?\",\"answer\":\"According to the form's instructions, all approved refunds will be credited directly to the student's account.\"}]","Florida International University - Revenue Refund Form | PDF",1790013383]