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Meal Account Request Form - Refund/Transfer/Donation

Meal account balances will transfer into the following school year and refunds are not necessary for students who are returning. Departing students (graduating, transferring, etc.) with remaining balances are encouraged to complete the following form.

  • Requests must be made by a parent or guardian on file.
  • Turn off autopayments in SchoolPay for the departing student.
  • Please allow 2 weeks for processing.

Required

Full Name of person submitting the request (first and last)required
First Name
Last Name

 

 

 

Student's Account (first and last name)required
First Name
Last Name

 

 

 

Request is to:required

 

 

 

Transfer Funds to a Sibling
Donate Funds to assist other students in need
 
Thank you for your donation. The funds will be placed into a general donation fund to other district students in need.
Refund Information
 
Funds added to the student's account within the previous 12 months using a credit card in SchoolPay will be refunded to the same credit card.
Indicate your refund preference
Mailing Information
Name of person receiving the check.required
First Name
Last Name

 

 

 

PARENT/LEGAL GUARDIAN SIGNATURE
I understand that by typing my name in the box below, I am agreeing to the use of electronic signatures and I certify that the information entered on this form is accurate and correct to the best of my ability.