Notification Letter For School Meals Template printable pdf download

NOTIFICATION LETTER FOR SCHOOL MEALS

Dear

Your application for free and reduced price meals for your child(ren) has been:

Approved for free meals.

Approved for reduced price meals at ____ cents for lunch and ____ cents for breakfast.

Denied for the following reason(s):

Income over the allowable amount.

Incomplete application. The following information is missing:

Other:

If you do not agree with the decision, you may discuss it with a school official and you have a right to a fair hearing. This can be done

by calling or writing the following official:

Name:

Address:

Phone:

You may reapply for benefits at any time during the school year. If you are not eligible now but have a decrease in household income or

become unemployed, or have an increase in household size, you may fill out another application at that time.

Sincerely,

Name

Title

Date

Nondiscrimination Statement: This explains what to do if you believe you have been treated unfairly.

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:

, 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)