Fees for Service Refund Request

On March 20, 2017 the BSEE and BOEM Data Center Website will undergo significant changes. These changes will enhance the user experience and add significant functionality and security to our Website. To learn more about the upcoming changes click here.

Fees for Service Refund Request

Your refund request will be processed within 6-8 weeks. For ACH refunds, refund checks will be mailed to the address you provide below.

Instructions: Required Fields are marked with an asterisk (*).

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All fields in red indicate that invalid data has been entered in it.

*Identify method of original payment
ACH Credit Card

*Memo (reason requesting refund) 
*Application Name: 
*Date of Original Payment: 
*Agency Tracking ID: 
*Pay.Gov Tracking ID: 
*Contact Name: 
*Payee Name: 
*Name on Credit Card: 
Check Number: 
*Original Transaction Date: 
*Fee Amount Paid (US Dollars): 
*Address Line 1: 
Address Line 2:
*Deposit Ticket Number: 
*E-mail address: 
*Phone Number (including area code):