Prior to requesting a refund, please make sure that all auto payments are turned off in MySchoolBucks. Failure to do so could result in payments being deducted when the account reimbursement is initiated. SESD is unable to see if auto pays are set up or turn them off!
STUDENT / PARENT INFORMATION
Student's Full Name *
Your answer
Student's Grade Level *
Choose
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Parent/Guardian Full Name *
Your answer
Home Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
A) Instead of a refund or transfer, I wish to DONATE my remaining balance to a student in need. *
B) Name of the student or staff account to whom the balance should be TRANSFERRED.
Your answer
C) Name of student or parent to whom the REFUND check should be issued.
Your answer
SIGNATURE (Parent/Guardian/Student must be 18 years of age or older to sign)
Please type your full name below, as this shall represent your electronic signature.
Signature - (Type your full name) *
Your answer
Checks will be mailed after confirming the meal account balance.