Application – Income Eligibility
The following forms are used in the process of approving households for meal benefits.
- Attachment A Income Eligibility Guidelines 2024
- Attachment B – Letter to Households 2024
- Spanish Version Attachment B – Letter to Household 2024
- Attachment B-1 – Special Milk Program Letter to Households 2024
- Attachment C – Free and Reduced Price Meal Application 2024
- Spanish Version Attachment C – Free and Reduced Price Meal Application 2024
- Attachment C-1 – Free Milk Application 2024
- Attachment D – Approval-Denial Letter 2024
- Spanish Version Attachment D – Approval-Denial Letter 2024
- Attachment D-1 – Special Milk Program Approval-Denial Letter 2024
- Attachment D-3 – Notice for Change of Benefits 2024
- Spanish Version Attachment D-3 – Notice of Change in Benefits 2024
- Attachment E- Self Employment 2024
- Spanish Version Attachment E – Self Employment 2024
- Attachment I – Onsite Review for Lunch & Breakfast Program
- Attachment I-1 – Onsite Review for Afterschool Snack
- Attachment J – Edit Check Worksheet
- Attachment J for RCCI – Edit Check Worksheet
- Attachment L – Sharing Information Waiver 2024
- Spanich Version Attachment L – Sharing Infomation Waiver 2024
- Attachment L-1 – Medicaid Sharing Information Waiver 2024