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1、free and reduced pricemeal eligibility process:special approval situations and recordkeeping requirements 2010 - 20111in accordance with federal law and u.s. department of agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, o

2、r disability.for food distribution on indian reservations discrimination is also prohibited on the bases of religion and political beliefs. to file a complaint of discrimination, write usda, director, office of civil rights, 1400 independence avenue, sw, washington, d.c. 20250-9410 or call (800) 795

3、-3272 (voice) or (202) 720-6382 (tty). in the midwest region please notify the regional director, civil rights/eeo, 77 w. jackson blvd., fl 20, chicago, il 60604-3591 or call (312) 353-3353. usda is an equal opportunity provider and employer.free and reduced pricemeals eligibility processthere are t

4、hree sections for this webcast:1)getting started2)eligibility certification 3)special approval situations and recordkeeping requirements2 general requirement schools participating in national school lunch program (nslp) and school breakfast program (sbp) must make free and reduced-price meals availa

5、ble to eligible childreneligibility manual (em) page 23save these webpages:dpi child nutrition website is located at: /fns_indexfree and reduced price and eligibility information is located at: /fns_fincou14hot topics for new information quick links to frequen

6、tly used topicseligibility manual for school mealsjanuary 2008 editiondownload from:/fns_fincou1check for usda guidance memos at:/fns_usdaplcymem6current resourcesuse the usda materials free and reduced-price meals application packet income eligibility guideli

7、nes public release7download application materials annually from dpi website free and reduced-price meal application english spanishother languages (link to usda)“changes to applications” must be incorporated into those in “other languages”free/reduced-price meals application packet foreign language

8、translations are available to help households understand the application process:spanish - on the dpi websiteother languages on the dpi website link to usda website (note: these have not been modified for wisconsin)9be sure to use forms for the correct yearincome eligibility guidelinespublic release

9、 special approval situations 11some special situations foreign exchange student joint custody foster child / kinship care adopted child transfer students from other schools self-employed/seasonal em pages 31 - 3612foreign exchange students student is a member of the household in which they live hous

10、ehold must qualify for the student to receive free or reduced-price meal benefits if the school wants to offer the student free meals, they must be claimed in the category for which the household qualifies and be paid for with non-food service fundsem page 3213joint custodyna custodial parent must a

11、pply for benefitsnif both households are custodial and apply, the student receives the greatest benefit level no matter which household they are living in at the timena non-custodial parent may be made aware of eligibility status, but not the specific information provided on the applicationem page 3

12、214extending eligibility: joint custody if child actually receives foodshare, fdpir or w-2 cash assistance in one household any other children in that household are extended free benefits when child lives part-time in second household all other children in that household are also extended free benef

13、its must document household composition and basis for extending benefitsusda policy memorandum sp 25 - 201015extending eligibility: joint custody if child does not receive foodshare, fdpir or w-2 cash assistance in one household but another person in that household does, all children in that househo

14、ld are extended free benefits when this child lives part-time in a second household all other children in that household are not extended free benefits. must document household composition and basis for not extending benefitsusda policy memorandum sp 25 - 201016household of oneemancipated child livi

15、ng alone or as a separate economic unitfoster child (not kinship care) living with a household but the legal responsibility remains with welfare agency or courtinstitutionalized child resides in a residential type facility (rcci, group home, etc.) that is not a boarding schoolem pages 31 - 321718fos

16、ter child/kinship care/adoption information is located on the dpi website at: /fns/fincou1.html foster childnchild is a ward of the court or welfare agency nchild is considered a household of one nmust complete one application for each foster child (even if more than one lives wi

17、th the same foster parents) em page 321920part 1. all household members (use a separate application for each foster child)do not list: forward or quest card numbers; or medicaid, ssi, w-2 childcare case numbers. please fill in part 4 if you are not receiving foodshare, w-2 cash benefits or food dist

18、ribution program on indian reservations (fdipr) at this time. names of household members(first, middle initial, last)school name for each childfoodshare, w-2 cash benefits or fdpir case number for any member of the household. if you list a case number, skip to part 5check if no incomepart 2. if any

19、child you are applying for is homeless, migrant, or a runaway check the appropriate box and call your school, homeless liaison, migrant coordinator at phone # homeless migrant runaway part 3. foster child if this application is for a child who is the legal responsibility of a welfare agency or court

20、, check this box and then list the amount of the childs personal use monthly income: $_. check if no income. skip to part 5. part 4. total household gross income. you must tell us how much and how often1. name(list all household members with income) 2. gross income and how often it was receivedearni

21、ngs from work before deductionswelfare, child support, alimonypensions, retirement, social security, ssi, va benefitsall other income(example) jane smith$199.99/weekly_$149.99/every other week$99.99/monthly_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$_/_$

22、_/_$_/_part 5. signature and social security number (adult must sign)an adult household member must sign the application. if part 4 is completed, the adult signing the form also must list his or her social security number or mark the “i do not have a social security number” box. (see privacy act sta

23、tement on the back of this page.)i certify (promise) that all information on this application is true and that all income is reported. i understand that the school will get federal funds based on the information i give. i understand that school officials may verify (check) the information. i underst

24、and that if i purposely give false information, my children may lose meal benefits, and i may be prosecuted. sign here: _ print name:_date: _ address:_ phone number:_ city:_ state:_ zip code:_social security number: _ _ _ _ _ _ _ _ _ i do not have a social security number free and reduced price scho

25、ol meals family applicationcomplete application: foster child name of foster child, schoolattending and check if no personal use income (in part 1) check box for foster child and the amount of personal use income, if any (in part 3) signature of adult household member or official of court or agency

26、responsible for the child (in part 5) ss# of person signing is not required (in part 5)must use a separate application for each foster childkinship care childnchild is the legal responsibility of someone in the household in which they livenchild may qualify free if household receives foodshare, w-2

27、cash assistance, or fdpirnentire “household” must be included on an income application to qualify21adopted childan adopted child is legally part of the adoptive household the entire household must be included on applicationthe subsidy amount for a “subsidized adoption” must be included as household

28、incomeem pages 31, 3822foster child to adopted child a foster child at the beginning of the school year is adopted during the year.“adopted child” is then considered part of the household and no longer a “household of one”under “duration” the former foster child remains free eligible the remainder o

29、f the current school year and the 30 day carry-over (or until a new determination is made in next school year) em page 312324transfer studentst may continue to receive benefits for the rest of current school year and 30 day carry-over to nextt school or district must receive a copy of the original a

30、pplication and review to determine that it was correctly approvedt school or district must receive a copy of the direct certification list showing the name of the student (only acceptable if from the same state) confidentiality of other students on list must be maintainedem page 25 self-employed wor

31、kersncan use previous year income tax for business or farming if current income is similarnself-employed workers are allowed to use net profit or loss from schedule c for business or schedule f for farming as their business or farm incomena business or farming “loss” becomes “0” and cannot be deduct

32、ed from other current sources of incomencannot use “adjusted gross income” from taxes em page 3425self-employed/seasonal workersnseasonal workers with irregular income are allowed to use previous year income tax if income is expected to be similarnseasonal workers with irregular income that is not s

33、imilar to the past year may project annual income2627recordkeeping requirementsbenefit issuance list list of students eligible for free or reduced-price meals must include: - student name - free/reduced-price/paid eligibility - date of approval/eligibility effective - dates of any subsequent changes28benefit issuance listnlist can be in any format as long as the required informa

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