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.

To transfer money to a sibling's meal account, please click on the following link to access and complete the MEAL ACCOUNT TRANSFER REQUEST FORM.

https://docs.google.com/spreadsheet/viewform?fromEmail=true&formkey=dGhLRnRWeW53emltWFlPRkREWDdhX2c6MA

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.

Please note, due to the cost of processing a check, refunds of less than $10.00 cannot be processed. If your child's balance is under $10.00, please consider helping a family in need by donating the remaining balance in your child's meal account.

Thank you for your patronage.

Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
School *
Your answer
Student's Grade *
Your answer
Student ID # (if known)
Your answer
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.
Your answer
Effective Date of Refund and/or Donation *
Make Check Payable to - OR - Name of Person Authorizing Donation (First and Last Name): *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Telephone #: *
Your answer
Email Address
Your answer
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 *
Your answer
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