Your child(ren) may qualify for free or reduced price meals if your household income falls within the limits of this chart.

 

FEDERAL INCOME CHART

For School Year 2008-2009

Household size

Yearly

Monthly

Weekly

1

$19,240

$1,604

   $370

2

$25,900

$2,159

   $499

3

$32,560

$2,714

   $627

4

$39,220

$3,269

   $755

5

$45,880

$3,824

   $883

6

$52,540

$4,379

$1,011

7

$59,200

$4,934

$1,139

8

$65,860

$5,489

$1,267

Each additional person:

  $6,660

   $555

  $129

 Privacy Act Statement: This explains how we will use the information you give us.  The Richard B. Russell National School Lunch Act requires the information on this application.  You do not have to give the information, but if you do not, we cannot approve your child for free or reduced price meals.  You must include the social security number of the adult household member who signs the application.  The social security number is not required when you apply on behalf of a foster child or you list a Food Stamp Program, Temporary Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian Reservations (FDPIR) case number or when you indicate that the adult household member signing the application does not have a social security number.  We will use your information to determine if your child is eligible for free or reduced price meals, and for administration and enforcement of the lunch and breakfast programs.  We MAY share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for their programs, auditors for program reviews, and law enforcement officials to help them look into violations of program rules.

 

 


 

Non-discrimination Statement: This explains what to do if you believe you have been treated unfairly. In 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, or disability.

 

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call toll free (866) 632-9992 (Voice). TDD users can contact USDA through local relay or the Federal Relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice users) USDA is an equal opportunity provider and employer.

 

 

 

 

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