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CA Clipper Cancellation Form 2013 free printable template

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Complete and submit this application with your Clipper card to cancel your card and receive a refund of any transit cash value, unused transit passes, discount ...
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CA Clipper Cancellation Form Form Versions

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How to fill out CA Clipper Cancellation Form

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How to fill out CA Clipper Cancellation Form

01
Obtain the CA Clipper Cancellation Form from the official website or local office.
02
Fill in your personal information, including your name, address, and email.
03
Provide your CA Clipper card number and any relevant account information.
04
Select the reason for cancellation from the provided options.
05
Review the information for accuracy.
06
Sign and date the form at the designated section.
07
Submit the completed form via email or physical mail as instructed.

Who needs CA Clipper Cancellation Form?

01
Individuals who wish to cancel their CA Clipper card.
02
Former users who no longer require a transit card for travel.
03
Individuals needing to end their subscription or service linked to the card.

Instructions and Help about CA Clipper Cancellation Form

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People Also Ask about

Clipper Refunds: Only registered Clipper cards, are available for refunds. Please contact Clipper Customer Service at 877.878. 8883 to request a refund without cancelling your card.
Registered cardholders can complete and sign a form authorizing another individual to act on behalf of the cardholder. To request a form and find out more information about the authorization requirements, please contact Clipper Customer Service at 877.878. 8883 (TDD/TTY 711 or 800.735.
Clipper Card – For fares purchased using Clipper, SMART customers should contact the Clipper customer service team directly at (877) 878-8883 to submit a refund request.
Can I get a refund? We cannot stop your order from going through, but you would have to tag your card to load the pass on your card. As long as you don't tag your card and pick up the pass, we will issue a refund to your transit benefit provider within 30 days of the expiration date of the pass.
Open the Wallet app on your iPhone and select the Clipper card you want to remove. Select more options button “…” and choose “Remove This Card.”
Does the Clipper START card expire? Unlike a credit or debit card, the Clipper card does not expire; however, you will need to renew your eligibility for Clipper START once every two years to continue receiving the discount.

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The CA Clipper Cancellation Form is a document used to formally cancel a previously filed CA Clipper report or registration.
Individuals or entities that wish to cancel their CA Clipper registration or reporting are required to file this form.
To fill out the CA Clipper Cancellation Form, provide required details such as the registration number, name of the entity or individual, reason for cancellation, and sign the form.
The purpose of the CA Clipper Cancellation Form is to officially notify the authorities of the cancellation of a CA Clipper report or registration, ensuring that records are updated accordingly.
The information that must be reported includes the registration number, name of the registrant, contact information, reason for cancellation, and any relevant dates.
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