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Department of Consumer and Regulatory Affairs

dcra@dc.gov

1100 4th Street S.W., 5th Floor, Washington, DC, 20024, US

202-442-4400

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Occupational and Professional License Refund Request Application

The purpose of this form is to initiate a financial review of funds paid to the Occupational and Professional Division at the Department of Consumer and Regulatory Affairs to be considered for a refund. Refund requests are considered in cases of duplicate or overpayment, erroneous filing, withdrawn applications, and denied or unapproved license applications.

All refunds are returned to the credit card used to process the original transaction. With very few exceptions, a refund check may be issued.

Please select your Board/Commission/Program

IMPORTANT: If your business is no longer operating, the license must be cancelled or the application must be withdrawn before a refund request can be considered. Please submit a Occupational and Professional License Online Cancellation Request Form.

IMPORTANT: If your business is no longer operating, the license must be cancelled or the application must be withdrawn before a refund request can be considered. Please submit a Occupational and Professional License Online Cancellation Request Form.

Total Amount Paid

Upload any documents (excluding proof of payment) that support your refund request.

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Full Name of Party Requesting Refund

If a refund cannot be returned to the original credit card, please complete the fields below detailing where a check may be mailed.

Refund Mailing Address (Check refunds will be mailed here)

I certify that the above statements on this application are true and complete to the best knowledge and belief. I agree to comply with all applicable laws and regulations of the District of Columbia. I/We understand that, anyone who makes a false statement on this form can be criminally prosecuted; and, if convicted, fined up to $1000, imprisoned up to 180 days, or both, under D.C. Official Code § 22-2405.

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