MEAL ACCOUNT - Reimbursement Form
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Email *
Prior to requesting a refund, please make sure that all auto payments are turned off in MySchoolBucks.  Failure to do so could result in payments being deducted when the account reimbursement is initiated.  SESD is unable to see if auto pays are set up or turn them off!
STUDENT / PARENT INFORMATION
Student's Full Name *
If you are an Adult/Staff member please put your name here as well. Thank you.
Student's Grade Level *
There is an option for students who graduated recently and for adults, scroll to bottom of this drop down list.
Parent/Guardian Full Name *
For Adults/Staff looking for a refund or a student who recently graduated and is over the age of 18 please put your name here as well as where it asks for the students name in the questions above.
Home Street Address *
City *
State *
Zip code *
A) Instead of a refund or transfer, I wish to DONATE my remaining balance to a student in need. *
B) Name of the student or staff account to whom the balance should be TRANSFERRED.
C) Name of student or parent to whom the REFUND check should be issued.
SIGNATURE (Parent/Guardian/Student must be 18 years of age or older to sign)
Please type your full name below, as this shall represent your electronic signature.
Signature - (Type your full name) *
Checks will be mailed after confirming the meal account balance.
Go to https://www.myschoolbucks.com for balance inquiries.  For all other inquiries, contact the Director of Dining Services, Emily Kobel, at (717) 382-4843 ext. 6850 or by email:  KobelE@sesd.k12.pa.us 
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