We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

Summer EBT Contact Form

Summer EBT Contact

Each Local Education Agency (LEA) operating the School Meal Programs must have at least one designated Summer EBT contact. The Summer EBT Contact(s) will be granted access to the upload portal to submit student eligibility data.

Organization Name

Please use the name of your organization as it appears in WINS. *This question is required.

Please provide your Organization Name:

Primary Summer EBT Contact Information *This question is required.

First Name

Last Name

Title

Email Address

Phone Number

Secondary Summer EBT Contact (Optional)

First Name

Last Name

Title

Email Address

Phone Number