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.
Household Size and Income Eligibility Guidelines (IEGs) Scales
- 2013–14 Income Eligibility Guidelines for Free and Reduced-Price Meals or Free Milk (DOC)
Used to qualify School Nutrition Programs households for free or reduced-price meals. - 2013–14 Income Eligibility Scales for Inclusion in the Eligibility Documents (DOC)
School Nutrition Programs income eligibility guidelines for inserting into eligibility documents (English and Spanish). - 2012–13 Income Eligibility Guidelines for Free and Reduced-Price Meals or Free Milk (DOC)
Used to qualify School Nutrition Programs households for free or reduced-price meals. - 2012–13 Income Eligibility Scales for Inclusion in the Eligibility Documents (DOC)
School Nutrition Programs income eligibility guidelines for inserting into eligibility documents (English and Spanish).
Note: See also Child Nutrition Program eligibility scales.
Eligibility Materials (by program)
National School Lunch Program
(NSLP)
and School Breakfast Program (SBP)
Application for Free and Reduced-Price Meals (XLS) | PDF
Translations of the Application for Free and Reduced-Price Meals are currently not available.
Eligibility Materials for Free and Reduced-Price Meals
- Description of Racial and Ethnic Categories
- Direct
Certification Eligibility Notification Sample (DOC)
- Notification of Expiration of Temporary Meal Benefits Sample (DOC)
- Letter to Households
- Non-Pricing Letter (DOC)
Replace the blank IEGs table on the right side of the letter with the reduced-price scale, or manually enter the IEG figures from the IEGs chart(s) above into the letter. The following changes may also be made to customize each letter:- School/Agency name
- School year
- School contact
- School contact’s phone, e-mail, or/and address
- Hearing Official
- Enter the date households should contact the school/agency, if they believe their child is eligible for free meals and did not receive a notification from the school/agency.
- Letter to Households
- Pricing Letter (DOC)
Replace the blank IEGs table on the right side of the letter with the reduced-price scale, or manually enter the IEG figures from the IEGs chart(s) above into the letter. The following changes may also be made to customize each letter:- School/Agency name
- School year
- School contact
- School contact’s phone, e-mail, or/and address
- Hearing Official
- Enter the date households should contact the school/agency, if they believe their child is eligible for free meals and did not receive a notification from the school/agency.
- Media
Release Sample (DOC)
Insert both the Free and Reduced-Price IEGs in the Media Release.
Spanish Translation for Media Release Sample - Approval
/ Denial Notification Sample (DOC)
Spanish Translation for Approval / Denial Notification Sample
Verification Forms
Verification Materials
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.
Special Milk Program
Application for the Special Milk Program (XLS) | PDF
Translations of the Application for the Special Milk Program are currently not available.
Eligibility Materials for the Special Milk Program
Pricing Letter to Households: Special Milk Program (DOC)
For schools/agencies that collect applications from households and provide milk at no cost (free) to children who qualify for free milk, based on the IEGs.
State Meal Program
Application for Free and Reduced-Price Meals: State Meal Program (XLS) | PDF
Translations of the Application for Free and Reduced-Price Meals: State Meal Program are currently not available.
