DSF Withdrawal

Funds in the DSF accounts can be used toward any out-of-pocket expenses associated with participation in a music program (e.g., to defray the cost of a big trip, uniform expenses, activity fees or instrument repair). 

Student Information
Student First and Last Name




Reimbursement Information

Please indicate the amount being requested.


Please indicate the reason for this reimbursement

Please upload a copy of your receipt.

NOTE: Reimbursement checks from a student's DSF account MUST be made payable to the STUDENT. These are STUDENT accounts. Checks will be mailed to the home address as provided above. This form must be completed with all required information.