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MEAL ACCOUNT REFUND/DONATION REQUEST FORM

Money remaining in your child's meal account may be refunded or transferred to a sibling's meal account.

To request a refund of money remaining in your child's meal account, please complete the form below.   A separate Meal Account Refund Request Form must be completed for each child.  Please allow 4-6 weeks to receive the refund check. 

The Nutrition Services Department also provides parents the option to donate all or a portion of their child's meal account balance to assist students who do not have the means to pay for a school lunch.  If you wish to participate in the "Donate Meals Program", please specify in the form below.

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Email *
Clear selection
Student's Last Name *
Student's First Name *
I would like to donate all or a portion of my child's meal account balance to assist students who do not have the means to pay for a school lunch *
If yes, please specify the dollar amount or type "ALL" to donate the entire amount remaining in your child's meal account.
Effective Date of Refund and/or Donation *
School *
Student's Grade *
Student ID # (if known)
Make Check Payable to - OR - Name of Person Authorizing Donation (First and Last Name): *
Mailing Address *
City *
State *
Zip Code *
Telephone #: *
Student's Name First AND Last *
Email Address
Reason for Refund *
By chosing yes below, I certify that I am authorized to receive the refund being requested. *
Name of person Completing this Form *
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