Vending Machine Form

Please use this form to report a problem with vending or laundry machines or to request a refund for money lost due to a malfunctioning vending or laundry machine. If you are only reporting a malfunctioning machine, then only section 1 needs to be completed. If a refund is requested, then the entire form must be filled out.

Section 1: Report a Problem

Name:

 

E-Mail Address:

 

Machine Location:

(Select one) 31 Lovett St. 8thKing 910 S. Chapel Academic Advanc. Accounting Bldg. Allison Hall Amstel Avenue Amy DuPont Hall Arsht Hall Black Culture Blue Arena Bob Carpenter Center Brown Brown Lab Cannon Carpenter Sports Center for the Arts Christiana East Christiana Commons Christiana West Clayton hall Colburn Colburn Lab College Towne/Conover Comp Research Computer Center Conover West Dickinson A Dickinson B Dickinson C Dickinson D Dickinson E Dickinson F DuPont Hall East Hall Ed Fine Elliot Hall English Evans hall Ewing Hall Field House Fred Rust Arena General Services George Evans House George Read Hall Gilbert A Gilbert Annex Gilbert B Gilbert C Gilbert D Gilbert E Gilbert F Good Stay Hall Gore Hall Harrington A Harrington B Harrington C Harrington D Harrington E Harter Hartshorn Gym Housing Bldg Hullihen Hall Ice Arena Blue Ice Arena Gold IEC James Smith Hall Kent Lamont DuPont Lane Laurel Health Library Alfred Lerner Hall (MBNA) McDowell Hall Mckinley Hall McKinley Lab Mech Hall Memorial Hall Morris Library New Castle Newark Hall Old College Penny Hall Perkins Hen Zone Plant Operations Public Safety Purnell Raub Hall Ray St. A Ray St. B Ray St. C Robinson Hall Rodney A-B Rodney C-D Rodney E-F Round House/Graham Russell A Russell B Russell C Russell D Russell E S.C. Parking Grarage Sharp Sharp Lab Smith Hall Smyth Spencer Squire Student Services Sussex Sypherd Taylor Hall Thomas McKean Hall Thompson Townsend Hall Transportation Warner Willard Hall Wolf Hall Worrilow Hall

 

Type of Machine:

Washer

Beverage Machine

Dryer

Snack Machine

Change Machine

Other (Specify:)

 

Description of Problem:

(Select one) Washer takes coins - will not start Washer will not drain out water Washer cannot select cycles on the touch pad Washer is smoking Washer is noisy during spin cycle Washer does not agitate Washer does not go into the rinse cycle Washer has error codes on the display Dryer takes coins - will not start Dryer drum will not turn at all Dryer cannot select cycles on the touch pad Dryer is noisy during the spin cycle Dryer does not heat or dry clothes Dryer has error codes on the display Card reader will not accept card Card reader takes money off card, but will not start machine Card reader has error codes on the display Vending machine took money but did not dispense product Vending machine will not take money Change machine took money but did not dispense change Change machine will not take money Other - Please fill out "other" field below

 

If other, please specify:

 

 

Section 2: Request a Refund

Refund Type Requested:

None Cash Coin FLEX

 

Amount (US $):

$

 

Phone Number:

 

Campus Address

 

- OR -

 

Home Address:

City:

State:

Zip: