Nutrition Services
Nutrition Services Home
School Meals Program
- Fresh Fruit & Veg Program
- Forms & Resources
- Training
- Important Dates
- School Breakfast Program
- Special Milk Program
- After School Snack Program
- Celebrations/Contest
- Grants
Child and Adult Care Food Program
Summer Food Service Program
Claims and Application
Quick Links
Nebraska Department of Education
Nutrition Services
301 Centennial Mall South
PO Box 94987
Lincoln, NE 68509-9487
(800) 731-2233 (Nebraska Only)
or (402) 471-2488
EMAIL
National School Lunch Program - NSLP
Forms & Resource Center
National School Lunch and Breakfast Programs
Permanent Agreement and Attachments A-L
Attachment |
Name/Description | Adobe Format | Microsoft Word Format |
| NDE 01-010 | Permanent Agreement and Free/Reduced Price Policy Statement | ||
| Attachment A | Income Eligibility Guidelines | ||
| Attachment B | Letter to Households | doc | |
| Attachment B-1 | Letter to Household for Milk Only Schools | doc | |
| Attachment C | Application for Free and Reduced Price Meals | doc | |
| Attachment C-1 | Application for Free Milk for Milk Only Schools | doc | |
| Attachment D | Notice of Approval/Denial Letter | doc | |
| Attachment D-1 | Notice of Approval/Denial Letter for Milk Only Schools | doc | |
| Attachment D-3 | Notice of Change in Benefits Letter | doc | |
| Attachment E | Computing Income for Self-Employed Persons | doc | |
| Attachment F | Verification Selection Letter and Enclosures | doc | |
| Attachment G | Verification Results Letter | doc | |
| Attachment H | Verification Procedures Questionnaire | doc | |
| Attachment H-1 | Civil Rights Summary | doc | |
| Attachment H-2 | Verification Tracker | doc | |
| Attachment I | On-Site Review Summary | doc | |
| Attachment J | Edit Check Worksheet | doc | |
| Attachment J-R | Edit Check Worksheet for RCCIs only | doc | |
| Attachment K-1 | Breakfast Food-Based Production Record | doc | |
| Attachment K-2 | Lunch Food Based Production Record | doc | |
| Attachment K-3 | Multi-Day Food/Condiment Bar Production Record | doc | |
| Attachment K-4 | Single-Day Food Bar Production Record | doc | |
| Attachment K-5 | Multi-Day Food/Condiment Bar Production Record for RCCI with a 7 Day week | doc | |
| Attachment K-6 | After School Snack Program Weekly Production Record | doc | |
| Attachment L | Sharing Information Waiver – Optional | doc | |
| Attachment L-1 | Sharing Information with Medicaid/SCHIP - Optional | doc |