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Meal Request Form

We are sorry you are not feeling well. While initially you may not want to eat, food and liquids can help in your recovery. Please provide us with the following information so that we can assist you:

* Name
Do you have a meal plan?
Student ID number:
Residence Hall:
Room # or temporary location:
Telephone:
Cell Phone:
Email:

Please answer a couple of questions so that we can better help with your nutrition needs:

Do you have access to a:

Refrigerator: Yes No
Freezer: Yes No
Microwave: Yes No
Do you have any food restrictions or food allergies? (If yes explain below) Yes No
Select one:
Flu bag option (2-3 meals in one bag)
Regular diet to go
Mumps diet
Who will be picking up your meals for you:
Name:
Phone:

Your meal card must be presented to the cashier. All alternate meals ordered due to illness will be deducted from your meal plan weekly totals.

Dining Services Phone Numbers
(Please ask to speak to a manager)

Monday–Friday 8:30 a.m.–5 p.m. (804) 289-8512
Monday–Friday 5 p.m.–8 p.m. (804) 289-8522
Saturday–Sunday 8 a.m.–8 p.m. (804) 289-8522