Refund Request Form

Refund Request Form

Food & Nutrition Meal Account Refund Request Form
Payee Name *

First Name Last Name
Email *
example@example.com
School Name *
Student Name *

First Name Last Name
Student ID Number *
If unknown, use birthday
Dollar Amount
Reason for Refund *

Graduate Move Does not eat school meals Receives free or reduced lunch Other
Please select what you would like us to do with the money left in your account. If no box is checked, then a check will be sent to the payee at the address listed on file. Year end refunds can take up to 8 weeks to process due to the large volume received.
Select 1 choice *

Full refund mailed to payee Transfer funds to another student Donate to school to support students who need assistance paying for school meals
Address *

Street Address

Street Address Line 2

City State

Zip Code
Transfer to: (student name) *

First Name Last Name
Student ID Number *
If unknown, use birthday
Full refunds will be issued in 4-6 weeks. Transfer and donation requests will be processed within 48 hours of receipt. Please use the submit button below once this form is complete. Contact Food & Nutrition Services at 425-385-4380 or email foodservices@everettsd.org for questions.

Accounting use only