Student Nutrition Refund Request Form

Forms

Required

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Please complete the fields below to request a refund of your student's lunch account. If you have more than one student, please list additional student name(s) and school(s) in "Additional Information" field below.

You may also make a note in the “additional information box” listed if you wish to donate the funds to a student(s) or the school cafeteria.

Please allow 4-6 weeks for processing and mailing of refund check.

Student Namerequired
First Name
Last Name
Select the school your child last attended.
Parent NamerequiredWho we will make the check payable to.
First Name
Last Name
Who we will make the check payable to.
Include city, state, and zip code.