This service is used by individuals who have severed their relationship with the University of Oregon and wish to close their Duck Bucks account. You may only submit this form if you have Graduated/Withdrawn/Retiered/Terminated from the University. Active or current Students/Faculty/Staff can not get a Duck Bucks Refund.
A short description to explain the nature of a ticket.
Provide a complete mailing address.
Reason For Leaving
Reason For Leaving
Provide a short description of why you are leaving.
The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.
Press Alt + 0 within the editor to access accessibility instructions, or press Alt + F10 to access the menu.
File attachments associated with the ticket.
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Other Fields

Your name
Verification Code