Internal refund request

Request refund payment

A refund will only be paid if all tasks are complete and a manager has authorised payment.

Pupil name(Required)

First Last

Customer name if not the pupil

First Last

Pupil full postcode

Pupil number(Required)

Course duration(Required)

Transmission(Required)

Original booking method(Required)

Original payment method(Required)

Full reason for refund(Required)

Deposit amount(Required)

Balance amount paid(Required)

Total amount paid to date(Required)

Deduction amount for kept / passed theory test(Required)

Deduction amount for kept / passed driving test(Required)

Deduction amount for fast track service(Required)

Deduction amount for non-refundable deposit(Required)

Deduction amount for used hours(Required)

Total authorised for refund(Required)

Full name on account to be refunded(Required)

First Middle Last

Sort code(Required)

Account number(Required)

Date refund to be paid(Required)

Course coordinator(Required)

Has DIS status been updated(Required)

Has refund been processed on KashFlow(Required)

Has the customer been informed of the decision(Required)

Refund authorised by(Required)

Authorising signature(Required)