Toll Credit Refund Request

If you paid a toll using cash or credit (non-E-ZPass transaction), and the amount charged was incorrect, complete the form below to dispute the charge within 30 days of payment transaction.

Contact Info

First name

Last Name

Phone Number

Email Address

Dispute Information

Receipt #

Dispute Reason

Date/Time of Transit

Time Zone

Exit Plaza

Entry Plaza

Amount Charged

Payment Type

Last 4 Digits of Card Used

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Other (Make/Model)

Email Confirmation Successful

Contact Info

Dispute Information

Vehicle Information