Form #276
June 2022
SCHOOL YEAR 2022-2023 PUBLIC ANNOUNCEMENT
The _____________________ announced today that low cost, nutritious school lunches and/or breakfasts
and/or milk are available to all children enrolled in the school. Meals, snacks and/or milk will be provided free or at a
reduced price to children living in households whose gross incomes are at or below those shown for their household size on
the income scale below. Applications for Free and Reduced Price School Meals are available to the households of all
children enrolled in the school.
EFFECTIVE FROM JULY 1, 2022 TO JUNE 30, 2023
(As announced by the United States Department of Agriculture)
Application forms are available on the school’s website and at your child’s school. Applications can be submitted at any
time during the school year. If a household member becomes unemployed or the household size or income changes during
the school year, parents are encouraged to contact the school so that all children receive the proper benefits. For the
school officials to determine eligibility, the household must provide the following information listed on the application: names
of all household members; household income received by each household member; type of income; frequency of income
such as weekly, every two weeks, twice a month or monthly; and the signature and last four digits of the social security
number of an adult household member certifying that the information provided is correct. The information provided by
parents on the application will be kept confidential and will be used only for determining eligibility.
Foster children, Head Start enrollees, homeless, migrant and runaway children, as defined in 7 CFR 245.2, are
categorically eligible for free meals or free milk. Households receiving assistance under NJ SNAP or Temporary
Assistance for Needy Families (TANF) for their children will be notified of their eligibility for free benefits unless the
household notifies the school that it chooses to decline benefits. Households receiving assistance under NJ SNAP or
TANF should only submit an application if they are not notified of their eligibility by a specified date determined by the school.
Households with children that are certified participants in SNAP or TANF may submit school meal applications for their
children using the abbreviated information as indicated on the school meal application and instructions. WIC participants may
also be eligible for free and reduced price meals. Parents/guardians should contact their child’s school for more information.
The school will advise parents of their child’s eligibility within 10 working days of receipt of the application. Any parent
dissatisfied with the eligibility determination may contact the school to request an informal conference or may
appeal the decision by requesting a formal hearing.
For up to 30 operating days into the new school year (or until a new eligibility determination is made, whichever comes first)
an individual child who was determined as free or reduced price eligible during the previous year will continue with this
determination. In addition, pursuant to a waiver authority granted at Section 12(l) of the NSLA, schools that operated under
SSO in SY2021-2022 may use the most recent free and reduced price determination since SY2019-2020 during the 30-day
carryover period. When children move to a new LEA, either at the beginning of the new school year or during the summer
months, the new LEA is encouraged to use the former LEA’s eligibility determination from the previous school year and
carryover the child’s eligibility status. Once determinations are completed, school officials are required to verify three percent
of the approved free and reduced price applications on file. For additional information, contact your child’s school.
HOUSE-
HOLD
SIZE
FREE MEALS OR MILK
HOUSE -
HOLD
SIZE
REDUCED PRICE MEALS
Annual
Monthly
Every
Two
Weeks
Weekly
Annual
Monthly
Twice per
Month
Every
Two
Weeks
Weekly
1
2
3
4
5
6
7
8
Each Additional
Household Member
17,667
1,473
680
340
1
2
3
4
5
6
7
8
Each Additional
Household Member
25,142
2,096
1,048
967
484
23,803
1,984
916
458
33,874
2,823
1,412
1,303
652
29,939
2,495
1,152
576
42,606
3,551
1,776
1,639
820
36,075
3,007
1,388
694
51,338
4,279
2,140
1,975
988
42,211
3,518
1,624
812
60,070
5,006
2,503
2,311
1,156
48,347
4,029
1,860
930
68,802
5,734
2,867
2,647
1,324
54,483
4,541
2,096
1,048
77,534
6,462
3,231
2,983
1,492
60,619
6,136
5,052
512
2,332
236
1,166
118
86,266
8,732
7,189
728
3,595
364
3,318
336
1,659
168
NJEDDA
Form #276
June 2022
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 (including gender identity and sexual orientation),
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: How to File a Complaint, 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: [email protected].
This institution is an equal opportunity provider.
The following school districts and charter schools participate in these programs:
Name of school district(s) participating in one or more of the School Nutrition
Programs, such as the National School Lunch Program, School Breakfast Program,
After School Snack Program or Special Milk Program.
DISTRICT/CHARTER
SCHOOL
NORTH JERSEY ELKS DEVELOPMENTAL DISABILITIES AGENCY