1100 4th Street S.W., Washington, DC, 20024, US
The purpose of this form is to initiate a financial review of funds paid to Occupational and Professional Licensing at the Department of Licensing and Consumer Protection 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 Refund requests are considered in cases of duplicate or overpayment, erroneous filing, withdrawn applications, and denied or unapproved license applications.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IMPORTANT: If your business is no longer operating, the license must be cancelled or the application must be withdrawn before a refund request can be considered.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.
Total Amount Paid
Upload any documents (excluding proof of payment) that support your refund request.
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.