[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-534821-105":59,"doc-detail-534821-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","sfsp-authorized-representative-change-request-form","SFSP Authorized Representative Change Request Form","","This document provides the official procedure and request form for changing the authorized representative for organizations participating in the Summer Food Service Program (SFSP) under the Illinois State Board of Education. Applicants are required to fill out this form with current and updated contact information, including names, titles, and phone numbers. Additionally, the process necessitates an accompanying letter on organizational letterhead signed by the authorized representative, which must be submitted via email to ensure administrative accuracy in the WINS application system. This ensures that the Illinois State Board of Education maintains precise records for program sponsors, facilitating seamless communication and compliance with state-level nutrition department standards. By utilizing this standardized request, institutions can effectively manage updates to their personnel and maintain their eligibility status as equal opportunity providers within the state of Illinois.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":57,"@type":76,"position":81},"https://docshare.wps.com/document/general/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/sfsp-authorized-representative-change-request-form/534821/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/sfsp-authorized-representative-change-request-form/534821.png","ImageObject",300,407,{"name":92,"@type":93},"Mia  ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What documents are required to request a change of the authorized representative?","Question",{"text":112,"@type":113},"In addition to this form, you must provide a letter on organization letterhead that is signed by the authorized representative and details both the current information and the requested changes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Where should the completed form and supporting letter be sent?",{"text":117,"@type":113},"The completed form and the required signed letter should be submitted via email to summermeals@isbe.net.",{"name":119,"@type":110,"acceptedAnswer":120},"What information needs to be provided on the change request form?",{"text":121,"@type":113},"The form requires the agreement number, sponsor name, contact addresses, and a comparison table of current versus requested information for the authorized representative, including name, title, contact details, and date of birth.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},534821,1791757155,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":56,"category_name":57,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":14},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","SFSP AUTHORIZED REPRESENTATIVE CHANGE REQUEST FORM  \n100 North First Street, W-270 Springfield, Illinois 62777-0001  \nNUTRITION DEPARTMENT  \nDIRECTIONS: To change the authorized representative on your WINS application, please provide the correct information below along with a letter on organization letterhead, signed by the authorized representative detailing the current information and the requested changes. Please submit the form and completed letter via email [to](to summermeals@isbe.net)[ ](to summermeals@isbe.net)[summermeals](to summermeals@isbe.net)[@isbe.net](to summermeals@isbe.net).  \n\n| AGREEMENT NUMBER/RCDT | SPONSOR NAME |\n| --- | --- |\n| PHYSICAL ADDRESS (City, State, ZIP Code) |  |\n| MAILING ADDRESS (City, State, ZIP Code) |  |\n\n\n|  | CURRENT INFORMATION IN WINS | CHANGE REQUESTED |\n| --- | --- | --- |\n| Authorized Representative First Name |  |  |\n| Authorized Representative Last Name |  |  |\n| Title (e.g. , Director, CEO) |  |  |\n| Business Phone (Include area code) |  |  |\n| Phone Extension |  |  |\n| Fax (Include area code) |  |  |\n| Email |  |  |\n| Date of Birth |  |  |\n\n\n| FORM SUBMITTED BY | DATE | EMAIL |\n| --- | --- | --- |\n\nThis institution is an equal opportunity provider.  \nISBE 67-28 (5/25)  Print   Reset Form","cbCaiq7JDqjkfHud","https://ap.wps.com/l/cbCaiq7JDqjkfHud","pdf",304994,"English","# Form Overview\n## Submission Requirements\n## Organization and Contact Information\n## Authorized Representative Detail Updates","[{\"question\":\"What documents are required to request a change of the authorized representative?\",\"answer\":\"In addition to this form, you must provide a letter on organization letterhead that is signed by the authorized representative and details both the current information and the requested changes.\"},{\"question\":\"Where should the completed form and supporting letter be sent?\",\"answer\":\"The completed form and the required signed letter should be submitted via email to summermeals@isbe.net.\"},{\"question\":\"What information needs to be provided on the change request form?\",\"answer\":\"The form requires the agreement number, sponsor name, contact addresses, and a comparison table of current versus requested information for the authorized representative, including name, title, contact details, and date of birth.\"}]","SFSP Authorized Representative Change Request Form | PDF",1791599122]