1100 4th Street S.W., Washington, DC, 20024, US
The purpose of this form is to initiate a financial review of funds paid to the Corporations Division at the Department of Licensing and Consumer Protection to be considered for a refund from the Office of the Chief Financial Officer. Refund requests are considered in cases of overpayment and/or duplicate payment ONLY. The request for refund shall be made within sixty (60) calendar days from the date of payment; or from the date of DLCP's rejection notification.
In order to initiate a refund request, the following documentation is required:
*Please attach all required supporting documentation to this request to avoid any delays in receiving your refund.
D.C. Municipal Regulations Title 17 Chapter 708.1 states the following: The request for refund shall be made within sixty (60) calendar days from the date of payment; or from the date of DLCP's rejection notification.
Pursuant to D.C. Code § 29–102.13. (d) Overpayments and duplicate and erroneous payments shall be refunded. The term “erroneous” is defined as when payment was sent to Corporations division but intended for another recipient (ex. tax or license payments erroneously sent to Corporations division). “Erroneous” payment does not include the case where customers change his/her mind and wants to rescind the filing (remove the filing in order to get refund).
Pursuant to D.C. Code § 29–102.13. (d) A mere change of purpose after the payment of money, as when a party desires to withdraw a filing, shall not entitle a party to a refund.
Upload Proof of Cash Payment (i.e., receipt from DLCP Cashier's Office).
Upload Proof of Check Payment (i.e., front and back of cashed check)
Upload Proof of Credit Card Payment (Receipt)
Upload Proof of Money Order Payment (i.e., money order receipt and receipt from DLCP Cashier's Office)
Upload Proof of Cash Payment (i.e., receipt from DLCP Cashier's Office)
Upload Additional Proof of Check Payment (i.e., front and back of check)
Upload any documents (excluding proof of payment) that support your refund request.
Did you receive a Rejection Letter from the Corporations Division?
Upload Rejection Letter
Full Name of Party Requesting Refund
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.
DC INSPECTOR GENERAL HOTLINE: If you are aware of corruption, fraud, waste, abuse, or mismanagement involving any DC Government agency, official or program, contact the Office of the Inspector General (OIG) at 202-727-0267 or 1-800 521-1639 (toll free). All reports are confidential and you may remain anonymous by law. Government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties, or criminal prosecution in appropriate cases.