Household Applications
2022-2023 School Meal Applications
Please Note
CEs may find additional information about household applications and determining eligibility in the Administrator’s Reference Manual (ARM), Section 4, Eligibility Determination.

Click the links below to download the appropriate 2021-2022 school meal applications and letters:

English


Spanish Versions - COMING SOON pending new Nondiscrimination Statement

  • 2022-2023 Standard (Multi-Child) Application for Free and Reduced-Price School Meals
  • 2022-2023 Multi-Use Application for Free and Reduced-Price School Meals
  • 2022-2023 Multi-Child Application for Free and Reduced-Price School Meals (Nonpublic School Version)*
  • 2022-2023 Application Directions
  • 2022-2023 Application Letter to Household for Free and Reduced-Price School Meals
* The nonpublic school version includes a question to collect ethnicity and racial data. This version is intended for CEs that do not have access to the Public Education Information Management Systems (PEIMS) or another method of collecting and retaining ethnicity or racial data. 

2022-2023 Income Eligibility Guidelines for Determining Free and Reduced Price Benefits


School Meal Application Letters
Please Note
TDA has revised the sample letters. The description provided for each letter explains the appropriate use of each letter.
Click the links below to download the appropriate letters:


English

Eligibility Based on Predetermined Eligibility for a Categorical Program-Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); Food Distribution Program on Indian Reservations (FDPIR); Foster; Migrant; Homeless, Runaway, or Displaced; Even Start, Head Start, or Early Head Start


Eligibility Based on an Household Meal Application 


Media Release Prototype
Regulations require that prior to or during the first week of school, a public release be made to the local news media, the unemployment office and any major employers who are contemplating layoffs within the school’s attendance area. When sent to the news media, the letter to parents, application form, and a complete income scale (free and reduced-price guidelines) or the same information put in a narrative form will constitute a public release. TDA has provided this prototype media release (Spanish version coming soon!) or media release Provision 2 (Spanish version coming soon!) and media release CEP (Spanish version coming soon!) for CEs to customize and use each school year.


Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help.

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/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.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.
SquareMeals.org Logo


Facebook Icon Instagram Icon
Twitter Icon YouTube Icon