Microsoft Refund Request Form

Confidential – For Official Use Only

Customer Information

Full Legal Name *

Date of Birth *

Microsoft Account Email *

Alternate Email

Phone Number

Billing Address

Customer Type *

Purchase Details

Product or Service Name *

SKU / Subscription ID / License ID

Order Number / Invoice Number

Purchase Channel *

Product Category *

Purchase Date

Amount Paid

Currency

Payment Method

Refund Request Details

Bank Name *

Refund Amount Requested *

Detailed Explanation of Reason for Refund

Policy Acknowledgment

I acknowledge that this refund request is subject to Microsoft's Refund and Cancellation Policy. Approval is not guaranteed and refunds may be issued at Microsoft's sole discretion.

Customer Declaration

I certify that the information provided is true, accurate, and complete. I understand that submitting false information may result in denial of this request.

Customer Signature

Date

Customer Name (Printed) *

Refund Specialist

Refund Specialist Name

Employee ID

By submitting this form, you agree to Microsoft's Refund & Cancellation Policy. Refunds are subject to Microsoft's terms and conditions. Approval is not guaranteed and is at Microsoft's sole discretion.