SDE: Forms for School Nutrition Programs Connecticut State Department of Education SDE: Forms for School Nutrition Programs

Forms for School Nutrition Programs


School Nutrition Programs   Program Guidance  |  Resources  |  Nutrition Education 



{Elementary students eating lunch}
The list below includes state and federal forms for the U.S. Department of Agriculture (USDA) school nutrition programs, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Afterschool Snack Program (ASP), Seamless Summer Option (SSO) of the NSLP, and Special Milk Program (SMP).
Action Planning Application Forms for Free and Reduced Meals and Milk (School Year 2017-18)
  • Family Application
    • Application for Free and Reduced-price School Meals or Free Milk:  English (PDF)
    • Application for Free and Reduced-price School Meals or Free Milk:  English (DOC)
    • Application for Free and Reduced-price School Meals or Free Milk:  Spanish (PDF)
    • Application for Free and Reduced-price School Meals or Free Milk:  Spanish (DOC)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free and Reduced-price School Meals:  English (PDF)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free and Reduced-price School Meals:  English (DOC)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free and Reduced-price School Meals:  Spanish (PDF)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free and Reduced-price School Meals:  Spanish (DOC)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free School Milk:  English (PDF)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free School Milk:  English (DOC)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free School Milk:  Spanish (PDF)
    • Sample Parent/Guardian Letter: Frequently Asked Questions About Free School Milk:  Spanish (DOC)
    • Foreign Language Translations for Free and Reduced-price Application Forms  (USDA)
    • SNAP/TFA Case Number Guidance (PDF)
  • Addenda
    • Addendum A: Sharing Information with Other Programs:  English (PDF)
    • Addendum A: Sharing Information with Other Programs:  English (DOC)
    • Addendum A: Sharing Information with Other Programs:  Spanish (PDF)
    • Addendum A: Sharing Information with Other Programs:  Spanish (DOC)
    • Addendum B: Healthcare for Uninsured Kids and Youth (HUSKY):  English (PDF)
    • Addendum B: Healthcare for Uninsured Kids and Youth (HUSKY):  Spanish (PDF)
    • Addendum C: Information on the Supplemental Nutrition Assistance:  English (PDF)
    • Addendum C: Information on the Supplemental Nutrition Assistance:  Spanish (PDF)
  • Parent/Guardian Notification Letters
    • Sample Parent/Guardian Notification Letter:  English (PDF)
    • Sample Parent/Guardian Notification Letter:  English (DOC)
    • Sample Parent/Guardian Notification Letter:  Spanish (PDF)
    • Sample Parent/Guardian Notification Letter:  Spanish (DOC)
    • Sample Parent/Guardian Notification Letters for Direct Certification
      • Version 1: SNAP, TFA, Medicaid:  English (PDF)
      • Version 1: SNAP, TFA, Medicaid:  English (DOC)
      • Version 1: SNAP, TFA, Medicaid:  Spanish (PDF)
      • Version 1: SNAP, TFA, Medicaid:  Spanish (DOC)
      • Version 2: Foster Child, Homeless, Runaway, Head Start):  English (PDF)
      • Version 2: Foster Child, Homeless, Runaway, Head Start:  English (DOC)
      • Version 2: Foster Child, Homeless, Runaway, Head Start):  Spanish (PDF)
      • Version 2: Foster Child, Homeless, Runaway, Head Start:  Spanish (DOC)
      • Version 3: Medicaid Benefits Reduced-price Meals:  English (PDF) New
      • Version 3: Medicaid Benefits Reduced-price Meals:  English (DOC) New
      • Version 3: Medicaid Benefits Reduced-price Meals:  Spanish (PDF) New
      • Version 3: Medicaid Benefits Reduced-price Meals:  Spanish (DOC) New
Afterschool Snack Program (ASP)
    Authorized Signatures Change Civil Rights Community Eligibility Provision (CEP)
      Equipment Disclosure Release District Benefit Issuance Food Safety Food Service Management Company Healthy Food Certification (HFC) Interschool Agreements Meals and Menu Planning Meal Counting and Claiming Public Media Release Policy Statement Procurement Professional Standards Summer Meals Special Milk Program (SMP) Verification Forms

      Other Forms
      CONTACT
      CSDE School Nutrition Programs Staff
      Connecticut State Department of Education
      Bureau of Health, Nutrition, Family Services and Adult Education
      Child Nutrition Programs
      450 Columbus Boulevard, Suite 504
      Hartford, CT 06103-1841
      Phone: 860-807-2050
      Fax: 860-807-2127


      Nondiscrimination Statements (USDA and CSDE)




      Content Last Modified on 11/13/2017 12:48:35 PM