MySchoolBucks Meal Account - Refund or Transfer Request

MySchoolBucks Meal Account - Refund or Transfer Request
All refunds will be processed back to the credit card you used to make a pre-payment to the MySchoolBucks account.
Date of Request*

MonthDayYear
Date
Is this refund or transfer request for a student or staff?*
STUDENT/STAFF'S INFORMATION
Refund Request For (Name)*
Student's First and Last Name
Grade*
Student's ID #
Campus Location*
Student's Email
example@example.com
PARENT/GUARDIAN/STAFF'S INFORMATION
Parent/Guardian/Staff's Name*
Best Reach Phone #*
Mailing Address*
City*
State*
Zip*
Parent/Guardian/Staff Email*
example@example.com
Are you requesting for a Refund or Transfer?*
Transfer means to transfer your MySchoolBucks $ to a sibling, etc
REFUND REQUEST REASON
Refund Amount*
Refund Request*

GraduatedTransferred out of HCSTDonate to School Activity FundOther
TRANSFER MYSCHOOLBUCKS BALANCE
Transfer Amount*
Transfer Request*

SiblingOther
Full Name*
First and Last Name
Campus Location*
Please note that a student’s meal account money is automatically carried over to the next school year EXCEPT after completion of the 12th grade. If your child will not be attending a school within the Hudson County Schools of Technology their money can be transferred to a sibling in your family or refunded after fully completing this form. Please stop all automatic payments being made in your MySchoolBucks account. Please allow 30 days for your request to be processed.
Signature*

Clear
OFFICE USE ONLY
HCST: Verify Amount of Refund or Transfer*
Refund Type*
Date of Refund or Transfer*

MonthDayYear
Date
Upload File(s)?*
Refund or Transfer Completed By*
Signature*

Clear
Additional Email(s) to Notify
File Upload*

Cancelof
Should be Empty:

MySchoolBucks Meal Account - Refund or Transfer Request

STUDENT/STAFF'S INFORMATION

PARENT/GUARDIAN/STAFF'S INFORMATION

REFUND REQUEST REASON

TRANSFER MYSCHOOLBUCKS BALANCE

OFFICE USE ONLY