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Refund Request Form

If you need to request a refund of your child's balance, please fill out the form below.  Be sure to provide all information.  The request will be processed and a check will be sent to the address provided.

Send your completed form to the Food Service Office at:

9 N. Main Street

PO Box 1033

Harriman, NY  10926

or fax to (845) 460-6061

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