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Whitfield County School Nutrition Request for Reimbursement
Checks are issued on the 15th of the month for requests from the previous month. Please cash or deposit your check as soon as possible.
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Email
*
Your email
Payee Name
*
Your answer
Payee Phone Number
*
Your answer
Child's Name
*
Your answer
School Name
*
Your answer
Address (home address)
*
Your answer
Amount Requested
*
Your answer
Are you a
*
Choose
One Time Vendor
Whitfield County Employee
If WCS employee, please provide the last 4 digits of your Social Security Number
Your answer
I understand that checking this box serves as my intention to sign this document and that all information in the document is true and correct.
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I understand
Required
This institution is an equal opportunity provider.
A copy of your responses will be emailed to the address you provided.
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