Vending Machine/Washer/Dryer
Refund & Request for Service 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.

For afterhours emergency equipment problems, please contact Facilities Customer Service at 302-831-1141.

Section 1: Report a Problem


E-Mail Address:
Machine Location:
Type of Machine:

Description of Problem:
If other, please specify:

Section 2: Request a Refund

Refund Type Requested:
Amount (US $):
Phone Number:
Campus Address
- OR -
Home Address:

The request has been sent via email to the proper people.
A copy of the email has been sent to:

Please click Finish to leave the Request for Service Form

Key fields are missing values.

Please fill in the following fields: