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California State University, Long BeachCalifornia State University, Long Beach

Application For Refund Of Fees

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Note: The university's policy on refunds is that all payments which were not originally paid by credit card will be refunded via eRefund. Please check your student account to make sure you have a valid bank account set up to receive your refund. You can sign up for eRefund at

I hereby request a refund of fees as indicated below, less any amounts not refundable by State and University regulations.


If Refund Request is for Tuition and Mandatory Fees, or Application Fees, the Term and Year are required.

Parking Permit Number (Attach Parking Permit)


Your refund will be processed within four weeks after receipt of the request.

Student Signature


Received by (Print Name)


Please mail form to Student Account Services BH-155, 1250 Bellflower Blvd, Long Beach, CA 90840, fax to 562-985-8282, or submit at the Cashier's Office BH-148.

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