Refund Form

This refund form is used for all authorized Smart Start refunds.

"* (required)" indicates required fields

Please carefully review the refund program requirements and information

Refunds are determined on a case-by-case basis and are not guaranteed for all clients submitting the form.

Refund Eligibility

Must have paid a Security Deposit
Paid Lockout date was advanced into the future 1 or more months
Device must be returned to Smart Start inventory and account must be closed, unless it is pre-approved by Smart Start
Valid Email Address and Phone Number must be provided
To dispute pre-payment fees associated with an installation appointment. https://www.smartstartinc.com/payment-disputes/
The following charges require pre-approval through an Incident Report Form: https://www.smartstartinc.com/clients/incident-report/
- Lockouts
- Tow Bills
- Vehicle Damage Claims
- Missed Appt Fees
- Unlock Codes

Disqualifications

Security Deposit was not paid
The device was not returned, returned damaged or not functioning
Past due balance exceeds the refund amount
If you have already disputed charges with your banking/financial institution

If you feel that you are eligible for a refund:

The completed form must contain the client’s name and date of birth and not requestor information
Select form of payment
If you are not eligible for a refund, you will receive an email with information regarding the disqualification

Client Information

Client First Name* (required)

Client Last Name* (required)

Email* (required)

Date of Birth* (required)

Account Number* (required)

Found on installation receipt.

This field is hidden when viewing the form

Program Information

Date of Program Start* (required)

City* (required)

State* (required)

Refund Payment Options - Select One *

Refund Payment Options - Select One* (required)

Check - Up to 90 days to process

Mailing Address for Refund (If Issued)* (required)

Street Address Address Line 2 City State ZIP Code

Reason for your refund request* (required)

This field is hidden when viewing the form

Installation Information

This field is hidden when viewing the form

Additional Details

Terms and Conditions

The refund form should only be completed by customers who have completed their program and all devices have been returned resulting in a closed account. Any other disputes as stated above will be automatically rejected. Please read qualifications above.

If it is determined that a refund is to be issued, the refund will be issued in the form of a check delivered to the mailing address entered on this form.

Smart Start holds the right to cancel a dispute if a chargeback was issued to the original form of payment.

Signature* (required)

By signing this, you agree to the terms and conditions of this website.