RSU #34

Online Free and Reduced Application

Letter to Household (Use the scrollbar to view the entire letter) PRINT

Dear Parent/Guardian:

RSU #34 offers a choice of healthy meals each school day.  Children may buy lunch for $2.60 (K-5), $2.85 (6-8), and $3.00 (9-12), and breakfast for $1.50. Children who qualify under U.S. Department of Agriculture guidelines may get meals free or a reduced price of $.40 for lunch and no charge for breakfast.  All meals served must meet nutrition standards established by the U.S. Department of Agriculture.  If a child has a disability, as determined by a doctor, and the disability prevents the child from eating the regular school meal, the school will make substitutions prescribed by a doctor.  If a substitution is needed, there will be no extra charge for the meal.  Please note, however, that the school is not required to make a substitution for a food allergy, unless it meets the definition of disability.  Please call the school for further information.

Your child can get free school meals if you get SNAP, Temporary Assistance for Needy Families (TANF) or benefits from the Food Distribution Program on Indian Reservations (FDPIR).  If your total household income is the same or below the amount on the Income Chart, your child can get meals either free or at a reduced price

How do I get free or reduced price school meals for my child?  You must complete the Free and Reduced Price School Meal Application and return it to the school.

• Households getting SNAP, TANF, or benefits from FDPIR.  You only have to include your child’s name and case number, and an adult household member must sign the form.
• Households that do not get SNAP, TANF, or benefits from FDPIR.  If you do not have a case number, you must include the names of all household members, the amount of income each person got last month and where the income came from.  An adult household member must sign the form and include the last four digits of his/her social security number, or indicate that he or she has none.
 Households with a foster child.  You only have to include the child’s name and check the box indicating that the child is a Foster Child on the Meal Application, and an adult must sign the form.

Income Eligibility Guidelines
July 1, 2016-June 30, 2017

Household size Month
1 $1,832
2 $2,470
3 $3,108
4 $3,747
5 $4,385
6 $5,023
7 $5,663
8 $6,304
Each additional family member, add: +$642


Will the form be verified?  Your eligibility may be checked at any time during the school year.  School officials may ask you to send written evidence that shows your child should get free or reduced price school meals.

Can I appeal the school’s decision?  You can talk to school officials if you do not agree with the school’s decision on your form.  You also may ask for a fair hearing by calling or writing to:

David A. Walker, Superintendent                  Phone: 207-827-7171                  Address:  156 Oak Street, Old Town, Maine  04468

Will information on my form be kept confidential?  We will use the information on your form to decide if your child should get free or reduced price meals.  We may inform officials connected with other child nutrition, health and education programs of the information on your form to determine benefits for those programs or for funding and/or evaluation purposes.

Can I apply for free and reduced price meals later?  You may apply for free and reduced price meals at any time during the school year.  If you are not eligible now but have a change, like a decrease in household income, an increase in household size, become unemployed or get SNAP, TANF or benefits from FDPIR, complete a form then.

We will let you know if you are approved or denied.



David A. Walker, Superintendent

Stephanie A. Salley, Director                                                              RSU #34 Food Service                                                     Kim Hayward, Clerk
                                                                                                           156 Oak Street
Ph: 207-827-3908                                                                            Old Town, Maine 04468                                                     Fax: 207-827-3925

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 last four digits of the social security number of the adult household member who signs the application. The last four digits of the social security number is not required when you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian Reservations (FDPIR) case number or other FDPIR identifier for your child 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.

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: http://www.ascr.usda.gov/complaint_filing_cust.html, 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) fax: (202) 690-7442; or

(3) email: program.intake@usda.gov

This institution is an equal opportunity provider.