Vending Issue

Please use this online form to request service or reimbursement for lost funds.

Machine Information
Please select the machine type.*
Please select the machine location.*
Please select the machine location.*
Please select the machine location.*
Indicate the service issue.*
- Machine accepting money and not vending product.
- Product stuck in machine.
- Machine not giving change.
- Card reader not accepting funds.
- Machine needs to be restocked.
- Other (please list more details below)
What product were you trying to purchase?*
Please include product and item #.
Please provide the dollar amount lost. (if applicable)
What type of funds were lost? (if applicable)
Please provide any additional information for this request.
Customer Information
Please complete the fields below so a reimbursement and/or service request can be processed accordingly.
Name*
First Last
University ID # (7 digits)*
If you do not have a university ID, you can enter in 0000000.
Date Service Error Occurred*
Date Format: MM slash DD slash YYYY
Email*
Campus Box #

Machine Information