Food Services Forms

Food Services Refund Request
Part of Food Services
( English )
 Rev Date 7/28/2015

Email the following information:

  1. Name
  2. Address
  3. Phone Number
  4. Students Name
  5. Students School
  6. Reason for refund request

Email the above information to

Refunds will be mailed within two weeks.

Note regarding Medical Form for Food Allergies/Intolerance (Form CNP-925) 
  • If your child has a disability or medical condition and requires a special meal or accommodation, a licensed physician must sign the form.
  • If you are requesting a special meal or accommodation due to food intolerance(s) or other medical reasons, a licensed physician, physician's assistant or registered nurse must sign the form.*
Please make sure the entire form is filled out completely. 
If you have any questions, please call Food Services at 916-294-9011.
*Please note food preferences, likes or dislikes are not an appropriate use of the Medical Statement form.