Chesapeake Schools Free & Reduced Application
2016-2017 LETTER TO HOUSEHOLDS
Children need healthy meals to learn. Chesapeake Public Schools offers healthy meals every school day. Student breakfast costs
$1.25 and lunch costs $2.50. Your children may qualify for free meals or for reduced price meals. Reduced price breakfast costs
$ .30 and lunch costs $ .40. All meals served must meet standards established by the U.S. Department of Agriculture. However,
if a student has been determined by a doctor to be disabled and the disability prevents the student from eating the regular
school meal, the school will make substitutions prescribed by the doctor. If a substitution is prescribed, there will be no
extra charge for the meal. If your student needs substitutions because of a disability, please contact Mrs. Jennifer McDermott
at (757) 547-1470 for further information.
THIS YEAR THE MEAL APPLICATION IS AVAILABLE IN AN ONLINE FORM. THE PAPER APPLICATION CONTINUES TO BE AVAILABLE AS WELL.
PAPER APPLICATIONS WILL BE DISTRIBUTED TO ALL STUDENTS IN PACKETS ON THE FIRST DAY OF SCHOOL. APPLICATIONS MAY ALSO BE OBTAINED
FROM THE SCHOOL OFFICE.
All children in households receiving Supplemental Nutrition Assistance Program (SNAP) benefits or Temporary Assistance for Needy Families (TANF) are eligible for free meals. Foster children who are the legal
responsibility of a foster care agency or court are eligible for free meals. Children who are members of households
participating in WIC may also be eligible for free or reduced-price meals based on the household’s income. If your total
household income is at or below the Federal Income Eligibility Guidelines, shown on the chart below, your child(ren) may get
free meals or reduced price meals. Your child(ren)’s application from last school year is only good for the first few days of
this school year. YOU MUST SEND IN A NEW HOUSEHOLD APPLICATION FOR EACH SCHOOL YEAR.
HOW TO APPLY
Households that are receiving SNAP or TANF for their children as of July 1 may not have to fill out an application. School
officials will notify you in writing of your child(ren)'s eligibility for free meal benefits. Once notified your child(ren)
will receive free meals unless you tell the school that you do not want benefits. If you are not notified by September 6,
2016, you must submit an application. The application must contain the names of all students in the household, the SNAP or TANF
case number, and the signature of an adult household member.
If you do not receive SNAP or TANF benefits for your child(ren) complete the application and return it to the school division.
If you do not list a SNAP or TANF case number for the child(ren) you are applying for, then the application must have the names
of all students, the names of all other household members, the amount of income each person received last month, and how often
the income was received. An adult household member must sign the application and include the last four digits of the social
security number. If the person does not have a social security number, check the box provided indicating none. You or your
child(ren) do not have to be U.S. citizens to qualify for free or reduced price meals.
If you are applying for a foster child, who is the responsibility of a foster care agency or court, an application may not be required. Contact Mrs. Bonnie Brown at (757) 547-1470 for more information. If you are applying for a homeless, migrant, or runaway child, an application may not be necessary. Contact Chesapeake Schools Student Enrollment at 757-547-0545 for more information.
For Free or Reduced Price Meals
Effective July 1, 2016 to June 30, 2017
|Household Size||  Annual   || Monthly || Weekly |
|8||75,647 ||6,304||1,455||For Each Additional Family Member Add||$7,696
FEDERAL INCOME GUIDELINES: Your child(ren) may be eligible for free meals or reduced price meals if your household income is
within the limits on the Federal Income Eligibility Guidelines chart shown above.
An application that is not complete cannot be approved. An application that is not signed is not complete. You must send in a
new application each school year.
OTHER BENEFITS: Your child(ren) may be eligible for other benefits such as the Virginia children’s health insurance program
called Family Access to Medical Insurance Security (FAMIS) and/or Medicaid. The law allows the school division to share your
free or reduced price meal eligibility information with Medicaid and FAMIS. These programs can only use the information to
identify children who may be eligible for free or low-cost health insurance, and to enroll them in either Medicaid or FAMIS.
These agencies are not allowed to use the information from your free or reduced price meal application for any other purpose.
Medicaid officials or officials with FAMIS may contact you to get more information. You are not required to allow us to share
this information with Medicaid or the FAMIS program. Your decision will not affect your children's eligibility for free and
reduced price meals. If you do not want your information shared, please check the appropriate box. You may qualify for other assistance programs. To find out how to apply for SNAP or other assistance programs,
contact the local social service office in your area.
CONFIDENTIALITY AND NOTICE OF DISCLOSURE: School officials use the information on the application to determine if your
child is eligible to receive free or reduced price meals and to verify eligibility. As authorized by the National School Lunch
Act, the school division may inform officials connected with other child nutrition, health, and education programs of the
information on your application to determine benefits for those programs or for funding and/or evaluation purposes.
VERIFICATION: School officials may check your eligibility at any time during the school year. School officials may ask you
to send information to prove that your child(ren) should receive free or reduced price meals.
FAIR HEARING: If you do not agree with the decision on your application or the results of verification, you may wish to
discuss it with officials in the school nutrition office at the telephone number below. If you wish to review the final
decision on your application you also have the right to a fair hearing. You can request a hearing by calling or writing the
Dr. Jean A. Infantino, Executive Director of Administrative Services/Clerk of the Board
312 Cedar Road, Chesapeake, VA 23322
Telephone: (757) 547-0153.
REAPPLICATION: You may reapply for free and reduced price meals any time during the school year. If you are not eligible
now but have a change, such as a decrease in household income, an increase in household size, become unemployed or get SNAP or
TANF for your child(ren), fill out an application at that time.
IF YOU NEED HELP FILLING OUT THE APPLICATION FORM, PLEASE CONTACT THE SCHOOL YOUR CHILD(REN) ATTENDS OR THE CENTRAL SCHOOL
NUTRITION OFFICE. Return the complete, signed application to: School Nutrition Services, 1021 Great Bridge Blvd, Chesapeake,
You will be notified when your child(ren)'s application is approved or denied. If you have questions or need help, call:
Mrs. Bonnie Brown, Account Clerk, School Nutrition Services (757)-547-1470.
Joanne K. Kinsey
Director of School Nutrition Services
Chesapeake Public Schools
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e. g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form. (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: firstname.lastname@example.org.
This institution is an equal opportunity provider.
OneSource Online Instant Processor application entry makes it easy and convenient to apply for meal benefits for all your
children. Simply enter the requested information as accurately as possible, and all
data will be instantly and securely sent to your children's school district for
processing. Start your family's meal benefits sooner by entering your information now!