Note: The goal of this page is to provide eligibility materials that are not specific to any year. The exceptions are the household size and income eligibility scale documents. These files will be school year specific. The tables provided in the "scales for inclusion" file may be pasted into the relevant form or sample letter as necessary.
The bulk of the eligibility files are finished and provided below. The remaining files will be posted as soon as possible.
Household Size and Income Eligibility Scales
- 2011–12 Income Eligibility Guidelines for Free and Reduced-Price Meals or Free Milk (DOC; 66KB; 1p.)
Used to qualify School Nutrition Programs households for free or reduced-price meals. - 2011–12 Income Eligibility Scales for Inclusion in the Eligibility Documents (DOC; 105KB; 1p.)
School Nutrition Programs income eligibility guidelines for inserting into eligibility documents (English and Spanish). - 2010–11 Income Eligibility Guidelines for Free and Reduced-Price Meals or Free Milk (DOC; 66KB; 1p.)
Used to qualify School Nutrition Programs households for free or reduced-price meals. - 2010–11 Income Eligibility Scales for Inclusion in the Eligibility Documents (DOC; 105KB; 1p.)
Income eligibility guidelines prepared in a format for inserting into eligibility forms (English and Spanish). - 2009–10 Income Eligibility Guidelines for Free and Reduced-Price Meals or Free Milk (DOC; 64KB; 1p.)
Used to qualify School Nutrition Programs households for free or reduced-price meals. - 2009–10 Income Eligibility Scales for Inclusion in the Eligibility Documents (DOC; 105KB; 1p.)
Income eligibility guidelines prepared in a format for inserting into eligibility forms (English and Spanish).
Note: See also Child Nutrition Program eligibility scales.
Eligibility Materials (by program)
- National School Lunch Program and School Breakfast Program
- Special Milk Program (In Process)
- State Meal Program (In Process)
National School Lunch Program
(NSLP)
and School Breakfast Program (SBP)
Applications for Free and Reduced-Price Meals (or Free Milk)
In English
- Application 1 - Two-sided Portrait (DOC; 68KB; 2pp.)
- Application 2 - Two-sided Landscape (DOC; 67KB; 2pp.)
- Application 3 - One-sided Landscape (DOC; 96KB; 1p.)
- Application 4 - Two-sided Landscape (DOC; 67KB; 2pp.)
- Application 5 - One-sided Portrait (DOC; 71KB; 1p.)
In Spanish
- Application in Spanish - One-sided Portrait (DOC; 66KB; 1p.)
- Application in Spanish - One-sided Landscape (DOC; 82KB; 1p.)
Eligibility Materials for Free and Reduced-Price Meals
In English
- Description of Racial and Ethnic Categories
- Direct Certification Eligibility Notification Sample (DOC; 29KB; 1p.)
- Notification of Expiration of Temporary Meal Benefits Sample (DOC; 30KB; 1p.)
- Letter to Households - Direct Certification (DOC; 72KB; 2pp.)
- Letter to Households - Non-Pricing Letter (DOC; 52KB; 2pp.)
- Letter to Households - Pricing Letter (DOC; 66KB; 2pp.)
- Media Release Sample (DOC; 35KB; 2pp.)
- Approval / Denial Notification Sample (DOC; 38KB; 1p.)
In Spanish
- Spanish Direct Certification Eligibility Notification (Not Available)
- Spanish Letter to Households - Direct Certification (DOC; 67KB; 2pp.)
- Spanish Letter to Households - Pricing / Non-Pricing Letter (DOC; 63KB; 2pp.)
- Spanish Media Release Sample (DOC; 41KB; 2pp.)
- Spanish Approval / Denial Notification Sample (DOC; 38KB; 1p.)
Verification Forms
Verification Materials (Updated Jan-2010)
School Nutrition Programs verification materials including applications, forms, and other materials for the annual, mandatory verification process for eligibility of a sample of completed household meal eligibility applications in schools.
