University of Hartford Dining - Dining Dollar Request Form

Accounts must be in "good standing" as defined by the University in order to process changes. Please allow 24 business hours for requests to be processed and for funds to appear on your account. You will be contacted if a change cannot be made.

*Student ID#: 

*Amount of Dining Dollars:

I authorize The University of Hartford Dining Services to increase my dining dollars by:

*Electronic Signature: