Last updated: 1/31/2022
Application For Refund Of Fees Paid Electronically
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Description
APPLICATION FOR REFUND OF FEES PAID ELECTRONICALLY THROUGH PAY.GOV. This form is used to request a refund of court fees that were paid through Pay.gov in a federal court case. This form allows the filer to identify the case number, receipt number, date of payment, amount requested for refund, and the reason the refund is being sought. The application is reviewed internally, with space provided for a supervisor’s recommendation and the Clerk of Court’s action, which may include approval, denial, or referral to a judge for further review. www.FormsWorkflow.com





