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Refund Request
Refund Request
Full Name
*
Account Number
*
Account Verification
*
Last four of Social Security Number, Date of Birth (mm/dd/yyyy), or EIN/TIN #
Phone Number
*
Email
*
By providing your email, you will be sent a copy of this form submission.
Service Address
*
City, State
*
Zip Code
*
Do you have an account you would like the balance transferred to?
Yes
No
If so, please provide an account #
Would you like to donate your credit to the City of Boise to help benefit our Hardship Assistance fund?
*
The fund provides utility bill assistance to those in need, and supports our Parks program in planting trees and making other improvements to city parks.
Yes
No
Mailing address you would like your refund sent to
*
Other Information
Submission
I acknowledge the check will be issued in the account holder's name.
*
**Checks will only be issued to the name on the account. If the account holder is deceased or the business has dissolved, you MUST call 208-608-7460.
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