Dining Dollars Exemption RequestLast Name *First Name *CWID *Crimson Email *Reason for Exemption Request *Married (A copy of your marriage certificate MUST be attached.)Head of Household (Head of Household is defined as an individual who actually supports and maintains in one household one or more individuals who are closely connected with them by blood relationship, relationship by marriage, or by adoption, and whose right to exercise family control and provide for the dependent individuals is based upon some moral or legal obligation. A copy of a tax form, birth certificate of the dependent, or court document showing custody of a child MUST be attached.)Dietary Circumstance (Fully and concisely describe your dietary circumstances in the additional information area below. Attach supporting documentation from a qualified professional, a person who is licensed or otherwise properly credentialed and possesses expertise in the area for which exemption is sought.)Veteran (A copy of your DD214 must be attached.)University of Alabama full time Faculty/StaffOther (Fully and concisely describe your personal circumstances in the additional information area below. Being a member of a fraternity or sorority, living off-campus, or living at home are not valid reasons for exemption.)Attach Supporting Documentation Additional Information Fully and concisely describe your dietary circumstances or personal circumstances, if applicable to your exemption request. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
