City of Shreveport - MGO Refund Request

Email Address of Employee Submitting Refund

Please enter your City of Shreveport email address here. If someone else in your department would like to receive notification on the progress of this request, you can also include their email address here.

MGO Project Number

Please enter the MGO project number

Date Refund Requested

mm/dd/yyyy

Payment Amount

Payment Type

Listed under "Existing Payments" on the Payments tab in MGO Example: Cash, Check, Online

Payment Date

mm/dd/yyyy

Fee Type

Select from drop down menu

Receipt #

Listed under "Existing Payments" on the Payments tab in MGO

Payment ID

Listed under "Existing Payments" on the Payments tab in MGO

Payee

List the person or business who made the payment

Mailing Address

List the mailing address where the refund check should be sent

Reason For Refund

Upload Receipt

MGO payment receipt must be uploaded to complete refund

Drop your files here

Send me a copy of my responses

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