Request for Lunch Account Refund/Transfer

 

Fill Out This Form To Submit Your Request

If you are registered on MYPAYMENTSPLUS, please confirm that your auto pay is turned off on your account before requesting a refund or transfer. If the auto pay is not turned off, a payment will automatically be added to the account when it hits zero.

Transfer or Refund:
Note: Transfers only occur between student accounts within District 204.
Click Here For Transfers

Parent Email:  
 

Student's School:

Student's Full First And Last Name:  

Student ID:

Reason for request:

Amount of refund:

Name to whom check should be made:  

Address to where check should be sent:

Phone #:

Have you turned off auto pay on this account on MyPaymentsPlus?

Would you like to request that the district turn off auto pay from this account?