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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 ehumphrey@fcusd.org

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. 
 
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