Meal Applications2021-2022 Free and Reduced Meal Application.pdf
Turn in Applications to:
For the most rapid processing of your Free & Reduced Meal Application, please apply online at "One Source" by clicking the button at right...
Or you may turn your completed paper application in to the office.
One application per household please.
All student meals are FREE for the 2021-2022 school year. You do not need to submit an application to receive free meals this year.
FREE AND REDUCED APPLICATIONS SHOULD ONLY BE SUBMITTED FOR STUDENTS NEW TO OUR DISTRICT OR WITH A CHANGE IN CIRCUMSTANCE.
Those with an approved application from 19-20 and 20-21 will automatically be in our file to receive benefits.
A change in circumstance would be new a household member(s) or a decrease in income.
Only complete one application per family. The information you give will be used to determine or prove your child's eligibility, this information may be used for other state or federally funded school benefits.
Factors considered in the application process are household size and total household income. HOUSEHOLD SIZE is considered all persons, related or unrelated: Including parents, children, grandparents who live in your home, and share living expenses. The TOTAL HOUSEHOLD INCOME is the income each household member received last month before taxes - this includes wages, social security, pension, unemployment, welfare, child support, alimony, and any other cash income.
Foster children are categorically eligible for free meal benefits. An application is not needed yet there does need to be documentation of status by a state or local entity familiar with the child's status. Foster children may be included in the household application as part of the household size.
Information About Free and Reduced-Price Meals
The goal of Pickerington Schools Food Service is to improve the health and education of our students and staff by providing nutritionally well-balanced meals. Menus are available in all school offices and cafeterias. We serve breakfast and lunch at all buildings.
Use one application for all students in your household. Applications need to be filled out completely in order to process.
Do not fill out an application if you received a letter about direct certification for free meals. Contact the school if any of your children are not listed on the certification letter.
Children receiving SNAP (formerly food stamps) or OWF are eligible for free meal benefits. If your total household income is the same or less than the amounts shown on the income chart, your child may receive free or reduced-price meals. A foster child is eligible to receive free meals regardless of your household income. If you receive WIC your child may be eligible for meal benefits. Please fill out an application. Homeless, runaway, and migrant children receive free meals. Please call the school or your homeless or migrant coordinator to see if your child(ren) qualify. You may apply even if you or your child(ren) are not a U.S. citizen.
When filling out an application you must include all people living in your household, related or not (such as grandparents, other relatives, or friends.) You must include yourself and all children who live with you. You must include income from everyone living in the household, related or not. Call 1-866-970-1054 to check to see if your child’s application is approved. We will notify you in writing only if your application is denied.
Verification: School officials may ask you at any time during the school year to provide proof of eligibility.
Fair Hearing: Contact Pickerington Food Services if you do not agree with the decision on your application or the results of verification. If you are not satisfied after speaking to Food Service, you may ask for a fair hearing by writing Vince Utterback, Business Manager, Pickerington Schools, 90 East St., Pickerington, OH 43147, or by calling 614-833-2110.
If you have other questions or need help, call 614-833-3645.
Si Necesita ayuda, por favor llame al telefono: 614-833-3645.
Si vous voudriez d’aide, contactez nour au nemero: 614-833-3645.
Reapplication: You may apply for meal benefits at any time during the school year. If you are not eligible now but have a decrease in household income, become unemployed, have an increase in household size, or receive SNAP (formerly food stamps) or OWF for your child, you may reapply.
Confidentiality: Food Service will provide information about your child’s eligibility to other school officials. This information is used to determine if your child is eligible for a waiver of school instructional fees. On the application, please check the box “yes” if you want this information shared. Check “no” if you do not want this information shared. Please sign the waiver choice. Answering the question, either way, will not change whether your child will get meal benefits.
Special dietary needs: All meals served in our cafeterias meet meal pattern requirements and national dietary guidelines; however, if a child has a disability that prevents eating regular school meals, we will make doctor prescribed substitutions at no extra charge. If you believe your child has special dietary needs due to a disability, you may contact Food Service Supervisor Judy Riley at 614-833-3645.
Additional help: Contact your local assistance office or call 877-852-0010 to find out about additional programs that are available.
Non-discrimination Statement: The U.S. Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the basis of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and /or employment activities.)
If you wish to file a civil rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call 866-632-9992 to request a form. You may also write a letter. Send your completed complaint form or letter by mail at U.S.Dept. of Agriculture, Director, Office of Adjudication, 1400 Independence Ave. S.W. Washington, D.C. 20250-9410 or fax to 202-690-7442 or email[email protected].
Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at 800-877-8339 or 800-845-6136 (Spanish).
USDA is an equal opportunity provider and employer.
Free Health Care: Families with children eligible for school meals may be eligible for free health care coverage through Medicaid and/or Ohio’s Healthy Start & Healthy Families programs. These programs include coverage for doctor visits, immunizations, physicals, prescriptions, dental, vision, mental health, substance abuse and more. Please call 1-800-324-8680 for more information or to request an application. Information can also be found on the web at http://jfs.ohio.gov/ohp/consumers/familychild.stm. Anyone who has an Ohio Medicaid card is already receiving these services.
Applications in Other Languages
Applications for free and reduced-price meals are available in many languages on the USDA’s website.