Application for Refund to
Student Meal Account
Student’s ID Number______________________________
Reason for Refund_________________________________
Please submit this completed form to your school office or cafeteria. All refunds are subject to any balance owed to the Food Service Department for charged meals. Checks will be processed and mailed to the above address once the refund is approved. This process may take up to 6 weeks. Inquiries can be directed to Debra Barker, Food Service Director– 219-922-5646 ext 7233.