

Free & Reduced
Meal applications are available by calling (210) 397-4517. Reapplication
must occur
each year and be within 30 days of the first day of school.
If you do not have a current application on
file, meal benefits will expire on the 31st day after the first day of school,
which means that students will be charged full price for school meals after
October 9th. The Free & Reduced office hours will be Mon - Fri 7:00 a.m.
to 3:30 p.m. Meal benefits will expire on October
9 if there is not a current 2007-2008 meal application on file at the Free
and Reduced Department.
Northside Independent School District
Letter to Households (Multi-Child)
National School Lunch/Breakfast Program
School Year 2007-2008
Dear Parent/Guardian:
The Northside Independent School District offers a choice of
healthy meals each school day. Children may buy lunch for $1.75/$2.00,
breakfast for 75¢/85¢. Children who qualify under U.S. Dept.
of Agriculture guidelines may get meals free or at a reduced price of 40¢
for lunch, 30¢ 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 the 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 children can get free school meals if you get food stamps
or Temporary Assistance for Needy Families (TANF). Depending on your income,
your children may be eligible for free or reduced price meals.
How do I get free or reduced price school meals for my children?
You must complete an Application for Free and Reduced Price Meals Form and return
it to the school or to the Child Nutrition Free and Reduced office at 7520 Mainland,
San Antonio, Texas 78250.
- Households getting food stamps or TANF.
You only have to include your children's names and case numbers, and an adult
household member must sign the form.
-
Households that do not get food stamps or TANF.
If you do not have a case number, you must include the names of all household
members, the amount of income each person received last month and where
the income came from. An adult household member must sign the form
and include his or her social security number, or indicate that he or she
has no social security number.
-
Households with foster children. You must include
the children's names and the amount of "personal use" income the children
received last month, and an adult must sign the form.
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 that your children should get free
or
reduced price school meals.
Can I appeal the schools decision? You
can talk to school officials if you do not agree with the
school's decision on your form. You may
also ask for a fair hearing by calling or writing to:
George Torres, Deputy Superintendent for
Business and Financial Services
7520 Mainland Drive, San Antonio, Texas
78250 Phone: 210.397.4517
Will information on my form be kept confidential? We will
use the information on your form to
decide if your children should get free or reduced price meals.
We may inform officials with other
child nutrition, health and educational 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 food stamps or TANF, complete
another form then.
We will let you know if you are approved or denied.
Sincerely,
John Thomas
Child Nutrition Director
Our services
are provided through the Texas Department of Agriculture's Food and Nutrition
programs funded by the U.S. Department of Agriculture, Food & Nutrition Service.
In accordance with Federal law and U.S. Department of Agriculture policy, the
Texas Department of Agriculture 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 (800) 795-3272 or (202) 720-6382
(TTY). USDA is an equal opportunity provider and employer.
Application Instructions (Multi-Child)
Please complete the Application for Free and Reduced Price Meals
Form using the instructions below. Sign the form and return it to the school
or mail it to Child Nutrition, 7520 Mainland Dr., San Antonio, TX 78250.
If you need help, call: Tel. No. 210.397.4517
1 (a-e) CHILD INFORMATION: Print
the names of your children. If you are applying for school meals,
include the
children's grades and name of school.
2
FOSTER CHILD: Complete this part and sign the form in #5.
(a) Write
the foster child's monthly "personal use" income. Write "0" if the
foster child does not get "personal use"
income.
(b) Sign
the form in #5. An adult household member must sign. You do
not have to list a social security number.
(c) Complete
a separate form for each foster child.
3
OTHER BENEFITS: Complete this Part and sign the form in #5.
(a) If
you are applying for school meals, list your current food stamp or TANF
case number for your child.
(b) Sign the
form in #5. An adult household member must sign. You do not
have to list a social security number.
4
ALL OTHER HOUSEHOLDS: Complete this Part and sign the form
in #5.
(a) Write
the names of everyone in your household even if they do not have an income.
Include yourself, your spouse,
the child you are applying for and all other household members.
(b) Write
the amount of income each person received last month before taxes or anything
else was taken out and where it
came from, such as earnings, welfare, pensions, and other income (see example
below for types of income to
report). Each income amount should be entered in the appropriate
column on the form. If any amount last month
was more of less than usual, write that person's usual monthly income.
(c)
If anyone is self-employed, write the amount of income the person earns
from self-employment; for example, income
from operating a farm. Please call the number at the top of the form
if you need help.
(d)
Sign the form and indicate your social security number in #5. If you
do not have a social security number, write
"none".
5
SIGNATURE AND SOCIAL SECURITY NUMBER:
(a) The form must have
the signature of an adult household member.
(b) The adult household
member who signs the statement must include his/her social security
number. If he/she does
not have a social security number, write "none". A social security
number is not needed if you listed a food stamp
or TANF case number or if you are applying for a foster child.
INCOME TO REPORT
| Earnings From Work |
Pensions/Retrirement/Social Security |
Other Monthly Income Self-employment |
| Wages/salaries/tips |
Pensions |
Disability benefits |
| Strike benefits |
Supplemental Security Income |
Cash withdrawn from savings |
| Unemployment Compensation |
Retirement Income |
Interest/dividends |
| Workers Compensation |
Veteran's payments |
Income from estates/trusts/ Investments |
Net income from self owned
business, day care business or farm |
Social Security |
Regular contributions from persons not living in the household |
|
|
Net royalties/annuities/net rental income |
| Welfare/Child Support Alimony |
|
Military allowance for off base housing |
| Public assistance payments |
|
Any other income |
| Welfare payments |
|
|
| Alimony/child support payments |
|
|
Privacy Act Statement: Unless
you list the child's food stamp or TANF case number or are applying for
a foster child. Section 9 of the National School Lunch Act requires
that you include the social security number of the household member signing
the form or indicate that the household member signing the form does not
have a social security number. You do not have to list a social security
number, but if a social security number is not listed or an indication
is not made that the adult household member signing the form does not have
a social security number, we cannot approve the form. The social
security number may be used to identify the household member in verifying
the correctness of the information stated on the form. This may include
program reviews, audits, and investigations and may include contacting
employers to determine income, contacting a food stamp or TANF office to
determine current certification for food stamps or TANF benefits, contacting
the State employment security office to determine the amount of benefits
received and checking the documentation produced by the household member
to prove the amount of income received. These efforts may result
in a loss or reduction of benefits, administrative claims, or legal actions
if incorrect information is reported. The social security number
may also be disclosed to programs as authorized under the National
School Lunch Act and the Child Nutrition Act, the Comptroller General of
the the United States, and law enforcement officials for the purpose of
investigating violations of certain Federal, State and local education,
health and nutrition programs.
Our services
are provided through the Texas Department of Agriculture's Food and Nutrition
programs funded by the U.S. Department of Agriculture, Food & Nutrition Service.
In accordance with Federal law and U.S. Department of Agriculture policy, the
Texas Department of Agriculture 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 (800) 795-3272 or (202) 720-6382
(TTY). USDA is an equal opportunity provider and employer.
ATTENCION: Para obtener comidas gratis o a precios reducidos
para sus hijos, usted debe llenar una solicitud y en viarla a la escuela.
Para ayuda en llenar la hage el favor de llamar a la oficina de servicio 210.397.4517.