Forms

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Form Name Form Number Form Download Form Download (Alternative Format) Instructions Download Program Name
2024-2025 Multi-Child Application for Free and Reduced-Price School Meals (Nonpublic School Version) - Spanish Download File Download File School Nutrition Program Forms
2024-2025 Multi-Use Application for Free and Reduced-Price School Meals Download File Download File School Nutrition Program Forms
2024-2025 Multi-Use Application for Free and Reduced-Price School Meals - Spanish Download File Download File School Nutrition Program Forms
2022-2023 Paid Lunch Equity Tool Download File School Nutrition Program Forms
2024-2025 Standard (Multi-Child) Application for Free and Reduced-Price School Meals Download File Download File School Nutrition Program Forms
2024-2025 Standard (Multi-Child) Application for Free and Reduced-Price School Meals - Spanish Download File Download File School Nutrition Program Forms
2023-2024 Income Eligibility Guidelines for Determining Free and Reduced Price Benefits Download File School Nutrition Program Forms
2023-2024 Paid Lunch Equity Tool Download File Download File School Nutrition Program Forms
6 Cents - Certification Checklist Download File School Nutrition Program Forms
Adult Meal Calculator Worksheet Download File School Nutrition Program Forms
Approved Purchase List Download File Download File School Nutrition Program Forms
Budget Tool: Reimbursement, Income, and Costs Download File School Nutrition Program Forms
Buy American Checklist for Non-Domestic Food Product Purchases Download File Download File School Nutrition Program Forms
CE Resource Checklist: Preparing for Certification for Performance-Based Reimbursement Download File Download File School Nutrition Program Forms
Certification for Performance-Based Reimbursement Checklist Card Download File Download File School Nutrition Program Forms
Child Nutrition Programs Waiver Request Download File Download File School Nutrition Program Forms
Community Eligibility Provision (CEP) Calculation Worksheet for Identified Student Percentage (ISP) and Claiming Download File School Nutrition Program Forms
Competitive Food (Smart Snacks) Worksheet Download File Download File School Nutrition Program Forms
Cooler or Freezer Temperature Recording Form Download File Download File School Nutrition Program Forms
Daily Food Production Record for Onsite Kitchen, Central Kitchen, and Receiving Kitchen Download File Download File School Nutrition Program Forms
Daily Record of Income - NSLP and SBP Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form | Afterschool Programs Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form | Community Eligibility Provision (CEP) and Lunch Attendance Factor Calculator Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form | Provision 2 (P2), Non-Base Year and Lunch Attendance Factor Calculator Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form and Lunch Attendance Factor Calculator Download File Download File School Nutrition Program Forms
Excess Net Cash Resources Plan Download File School Nutrition Program Forms
F&N Complaint Form - English Download File Download File School Nutrition Program Forms
F&N Complaint Form - Spanish Download File Download File School Nutrition Program Forms
Fluid Milk Substitute Worksheet Download File Download File School Nutrition Program Forms
Food Service Management Company (FSMC) Contract Review Form Download File School Nutrition Program Forms
Food Service Pro-Rata Share of Exclusive Beverage Contract Form Download File Download File School Nutrition Program Forms
Gender Separation Exception Request Form Download File School Nutrition Program Forms
Hiring Program Director Checklist Download File Download File School Nutrition Program Forms
Income and Categorical Application Checklist Download File Download File School Nutrition Program Forms
Income from Food Service Operations Form Download File Download File School Nutrition Program Forms
Informal Small Purchase Log Download File Download File School Nutrition Program Forms
Letter to Household - Eligibility Determination - Multiple Templates Download File School Nutrition Program Forms
Letter to Household - Eligibility Determination - Multiple Templates (SPANISH) Download File School Nutrition Program Forms
Local Wellness Policy (LWP) Checklist Download File Download File School Nutrition Program Forms
Meal Accommodation Tracking Form Download File Download File School Nutrition Program Forms
NSLP/SBP Media Release Prototypes Download File School Nutrition Program Forms
NSLP/SBP Media Release Prototypes (SPANISH) Download File School Nutrition Program Forms
Medical Statement Sample Form Download File Download File School Nutrition Program Forms
Micro-Purchase Log Download File Download File School Nutrition Program Forms
Monthly by Classroom Coded List Form Download File Download File School Nutrition Program Forms
Onsite Monitoring Form | Afterschool Care Program (ASCP) and Child and Adult Care Food Program At-Risk (CACFP At-Risk) Download File Download File School Nutrition Program Forms
Onsite Monitoring Form | Community Eligibility Provision (CEP) Download File Download File School Nutrition Program Forms
Onsite Monitoring Form | National School Lunch Program (NSLP) Download File Download File School Nutrition Program Forms
Onsite Monitoring Form | Provision 2 (P2) Year 2 and Following Years Download File Download File School Nutrition Program Forms
Onsite Monitoring Form | School Breakfast Program (SBP) Download File Download File School Nutrition Program Forms
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Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help. Additional translations services available as well.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

1. Mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
2. Fax: (833) 256-1665 or (202) 690-7442; or
This institution is an equal opportunity provider.
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