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Refund Request Form
Food & Nutrition Meal Account Refund Request Form
Please select how you would like your students funds to be distributed.
Note: Refunds can take up to 8 weeks to process.
Meal Account Balance Distribution Options
*
Donate To School To Support Students Who Need Assistance Paying For School Meals
Transfer Funds to Another Student/ Sibling Meal Account
Full Refund Mailed To Parent / Guardian
Parent / Guardian
*
First Name
Last Name
Student
*
First Name
Last Name
Student ID Number
If Unknown, Use Student Birthday
Refund / Transfer / Donate Dollar Amount
Dollar Amount
Transfer Funds To Student
*
First Name
Last Name
Transfer Funds To Student
First Name
Last Name
Transfer Funds To Student ID Number
If Unknown, Use Student Birthday
Current Address (Where you would like check mailed to for Full Refund)
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Select Reason For Refund
*
Please Select
Graduating Senior
Leaving Edmonds School District
Inactive Student
Per Parent Request - Student at No Cost School
Autopay
*
I have turned off Autopay. If autopay is not turned off, then you risk having your card charged again when we issue refunds from the account.
Not Applicable
Full Refunds Will Be issued in 4 - 6 weeks. Transfer and Donation request will be processes within 2 - 4 weeks of receipt. Please use the submit button below once form is complete. Contact Food & Nutrition Services at (425) 431 - 7078 for questions.
Submit
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