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  • School Fee Waiver Form (Spanish)

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    free waiver span.pdf 84.27 KB (Last Modified on July 28, 2016)
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  • School Fee Waiver Form

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    fee waiver eng.pdf 79.62 KB (Last Modified on July 28, 2016)
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  • Add Sibling to Direct Certification Form (Spanish)

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    add sib spanish.pdf 86.24 KB (Last Modified on July 28, 2016)
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  • Add Sibling to Direct Certification Form

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    Please complete this form if you received a Direct Certification Determination Letter, but a student in your house is not listed on the letter.
    add sib english.pdf 75.90 KB (Last Modified on July 28, 2016)
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  • Special Dietary Needs Form (English)

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    If your child has a special dietary need that qualifies as a dietary disability, please have this form completed by a licensed physician and return it to Nichole Poppie or your child's school kitchen manager.

    medicalstatementdisabilty.doc 159.00 KB (Last Modified on July 21, 2015)
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  • Special Dietary Needs Form (Spanish)

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    medicalstatementdisabiltyspanish.doc 155.50 KB (Last Modified on July 21, 2015)
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  • Lunch Payment Form

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    Please use this form when sending cash or check with your student.  Nutrition Services recommends using our online payment system, sending a check, or sending a money order.  Please give this form along with payment to the School Kitchen Manager so that funds can be deposited into your child's account.
    Lunch Payment Form.pdf 178.48 KB (Last Modified on June 11, 2015)
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Non-discrimination Statement: In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits.  Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form.

To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter 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;

(2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. This institution is an equal opportunity provider.

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