FOOD SERVICE REFUND/TRANSFER REQUEST
Your request will be processed based on the supporting documentation. You should receive the refund within approximately 5-7 days; transfers will be completed as soon as they are received.
If there is an issue with your refund/transfer, we will contact you.

NOTE: We will use all necessary resources to contact the requestor in the case of an issue. However, it is the requestor's responsibility to follow up in regards to the refund or transfer.

***If your student is signed up for automatic payments with K12paymentcenter.com , please disable it before submitting request.***

There are three different options for you to choose from. Please select one option below.
1. You may donate the funds to a student with a negative balance.
2. You may transfer the balance to another student.
3. You may request a refund.

Sign in to Google to save your progress. Learn more
DONATIONS
First and Last Name of Student Transferring Funds FROM
Student's Date of Birth
MM
/
DD
/
YYYY
TRANSFERS
IF TRANSFERRING FUNDS TO MULTIPLE ACCOUNTS, PLEASE SPECIFY AMOUNT TO GO INTO EACH ACCOUNT!
Student #1 Name/DOB
Amount to Student #1
Student #2 Name/DOB
Amount to Student #2
Student #3 Name/DOB
Amount to Student #3
Please list any additional student accounts information below. One student name (first and last) and their birthdate PER LINE.
REFUNDS
Student #1 First and Last Name, Birthdate
Student #2 First and Last Name, Birthdate
Student #3 First and Last Name, Birthdate
Please list any additional student accounts information below. One student name (first and last) and their birthdate PER LINE.
PARENT/GUARDIAN FULL NAME *
PARENT/GUARDIAN MAILING ADDRESS (If requesting a refund, be sure to enter current address to receive refund check.) *
PARENT/GUARDIAN PHONE NUMBER *
PARENT/GUARDIAN EMAIL ADDRESS (If none, enter "NONE") *
TODAY'S DATE *
MM
/
DD
/
YYYY
If you have any questions please email our Food Service Director at kim.terry@rrisd.net
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of River Road ISD. Report Abuse