School Meal Account Refund Request Form

School Meal Account Refund Request Form
Request a refund for the remaining balance in your school meal account. Please provide accurate information to ensure prompt processing.
Student's Full Name
First NameLast Name
School Meal Account Identifier (or Last 4 Digits)
Requester's Email Address
example@example.com
Requester's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Student
Refund Amount Requested (if known)
Preferred Refund Method
Other
Mailing Address (if requesting a check)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Reason for Refund Request
Should be Empty: