Child Nutrition Student Refund Request
Child Nutrition Student Refund Request Student name & ID #:___________________________________ Date:________________Please indicate whether you are requesting a donation, transfer of funds to another student’s account within the district or refund.?Donate the remainder of my child’s lunch account balance to a student in need.?Transfer Please transfer funds to: Student Names: ______________________________________________Schools: ____________________________________________________ID numbers #: _______________________________________________?Refund Amount of refund $______________________________Parent Signature: _____________________________________________Mail check to: ___________________________________________________________________________________________________Please return this form to the DISD Child Nutrition Department in one of the following ways:Email:bmartin2@Fax: 940-387-3402Mail:Child Nutrition DepartmentAttn: Bev Martin230 North Mayhill Road Denton, TX 76208Please note: The refund processing time is 6 – 8 weeksFor Office Use OnlyCheck Request Number:Vendor Number:GL Code: ................
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