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Includes instructions to send copies of required paperwork, timelines for acceptable income documentation, and options for households receiving SNAP or TANF versus those that do not. Provides a process for listing adult household members and submitting proof of income by income type such as jobs, Social Security, unemployment, welfare, child support, and other income. 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However, there is one last step you need to take – please send us documents to confirm your eligibility.  \n\n| CHILD NAME (First and Last) | CHILD NAME (First and Last) | CHILD NAME (First and Last) | CHILD NAME (First and Last) |\n| --- | --- | --- | --- |\n|  |  |  |  |\n\nUse reverse side if necessary  \n\n| If possible, send copies, not original papers. If you do send originals, they will be sent back to you only if you ask.\u003Cbr>You must send the information we need, or contact   by   or your\u003Cbr>child(ren) will stop getting free or reduced-price meals. (Name) (Date)\u003Cbr>1. If you were getting SNAP or TANF when you applied for free or reduced-price meals, or at any time since then, send us a copy of one of these:\u003Cbr>· SNAP or TANF Certification Notice that shows dates of certification.\u003Cbr>· Letter from SNAP or Welfare Office that says you have received SNAP or TANF.\u003Cbr>2. If you do not get SNAP or TANF for your child(ren):\u003Cbr>A. Write name of each adult household member below. |  |  |\n| --- | --- | --- |\n| \u003Cbr>NAME (First and Last) |  | NAME (First and Last) |\n| Use reverse side if necessary\u003Cbr>B. Send this page along with papers that show the amount of money your household receives from each source of income.\u003Cbr>3. If you choose not to comply with our request for verification of materials, you can inform the school by:\u003Cbr>1) Signing and dating below, and returning form to school.\u003Cbr>|  |  |\n| (Adult Household Member Signature) (Date)\u003Cbr>2) Or by calling   at  \u003Cbr>(Name) (Telephone)\u003Cbr>Households that choose not to comply OR fail to comply with verification request will be changed to paid status. |  |  |\n| The papers you send must show the name of the person who received the income, the date it was received, how much was received, and how often it was received.\u003Cbr>Acceptable papers include: | Send information to:\u003Cbr>Email:  \u003Cbr>Mailing:   |  |\n| Jobs: Paycheck stub or pay envelope that shows the amount and how often pay is received; letter from employer stating gross wages and how often they are paid; or business or farming papers, such as ledger or tax books.\u003Cbr>Social Security, Pensions, or Retirement: Social security retirement benefit letter, statement of benefits received, or pension award notice.\u003Cbr>Unemployment, Disability, or Worker’s Compensation: Notice of eligibility from State employment security office, check stub, or letter from Worker’s Compensation.\u003Cbr>Welfare Payments: Benefit letter from welfare agency.\u003Cbr>Child Support or Alimony: Court decree, agreement, or copies of checks received.\u003Cbr>Other Income (such as rental income): Information that shows the amount of income received, how often it is received, and the date received.\u003Cbr>Military Housing Privatization Initiative: Letter or rental contract showing your housing is part of the Military Housing Privatization Initiative.\u003Cbr>Timeframe of Acceptable Income Documentation: Please submit papers that show your income at the time you applied for benefits. If you do not have this information, you may submit papers from time of application up to time of verification.\u003Cbr>If you do not have income: please send a brief note explaining how you provide food, clothing, and housing for your household.\u003Cbr>If you have questions or need help, please call   at   The call is free.\u003Cbr>(Name) (Telephone Number)\u003Cbr>Sincerely, |  |  |\n| For all other FNS nutrition assistance programs, state or local agencies, and their subrecipients, must post the following Nondiscrimination Statement: In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or rep","cbCaisELZ5K7QyQb","https://ap.wps.com/l/cbCaisELZ5K7QyQb","pdf",339529,"English","# Application Verification Request\n## What you need to send\n## SNAP or TANF households\n## Non-SNAP/TANF households\n## Acceptable income documentation\n## Timeframe for submissions\n## Contact and noncompliance notice\n## Nondiscrimination statement","[{\"question\":\"What is the purpose of this verification request?\",\"answer\":\"The request asks for documents to confirm eligibility for free or reduced-price meals for your student(s).\"},{\"question\":\"What should you do if you receive SNAP or TANF?\",\"answer\":\"Send a copy of a SNAP or TANF Certification Notice showing certification dates, or a letter from the SNAP or Welfare Office stating you received SNAP or TANF.\"},{\"question\":\"What happens if you do not provide the verification materials?\",\"answer\":\"Households that choose not to comply or fail to comply with the verification request will be changed to paid status.\"}]","We Must Verify Your Application - Request for Proof of Eligibility for Free or Reduced-Price Meals | PDF",1791602292]