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Application for Refund of Fees Paid Electronically

Category: 
Mandatory Forms
Other related forms and guidance: 

1.  A request for a refund of fees paid via Pay.gov shall be made by this application which must be filed electronically with the Clerk of Court.

2.  Upon filing, the Clerk's Office will review the application and, if appropriate, issue a Clerk's Order approving a refund, signed by the Clerk or his/her designee.

3.  All other applications for refund will be directed to the assigned judge.

4.  The Finance Department will issue a refund through Pay.gov against the credit card used. Refunds for ACH transactions require a check be issued by the Clerk of Court. (If it was an ACH transaction, please indicate the payee name and address that the check will be sent to below.)

Revision Date: 
Wednesday, December 17, 2025