Request For Refund {EDC.003-850}

EDC 3-850, REQUEST FOR REFUND, Please fill out the this form to request a refund. When you have completed the form, mail this form to the address listed. NOTE: If you originally paid by cash, check or money order, a refund request will not be considered without an attached AO 213P form (included with this form). Attorneys who paid by credit card, see box below for more information. www.FormsWorkflow.com