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ESEA Repayment Requests
Please utilize this form to submit a request to refund Elementary and Secondary Education Act (ESEA) funds to the Wisconsin Department of Public Instruction (DPI).
Submitter Name *
Your answer
Submitter E-mail Address: *
Your answer
Submitter Phone Number: *
Your answer
District Number (LEA Number): *
Your answer
District Name (LEA Name): *
Your answer
Funding Source: *
Fiscal Year Affected: *
Enter the fiscal year the obligation was made.
Your answer
Has a final ESEA claim involving these funds been submitted to DPI? *
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