Roseville Area Schools Nutrition Services Meal Account Refund/Transfer

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Please fill out this order request. We may contact you with any questions or for clarification. Please note, refunds will be issued only for amounts $10.00 and greater and all requests for refunds must be claimed within 365 days of the last transaction. Unclaimed balances or those <$10 will be transferred to the district Angel Fund.

Email *

Student's Name (Last, First) *

Student's PIN:

Amount of Refund/Transfer (if known):

Please indicate your request below: *

Refund (check will be sent via USPS)

Donation (remainder will go to a student lunch account balance in need)

Transfer to another student account

If you choose to transfer to another student account please provide the account information (student name, school, PIN) below:

Your name *

Phone number *

Address for check to be sent: Please include street number, street name, city, state, and zip code *

E-mail

Preferred contact method *

Phone

Required

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