2017-2018

Arlington ISD

Online Free and Reduced Application

Letter to Household (Use the scrollbar to view the entire letter) PRINT

Dear Parent/Guardian:
Children need healthy meals to learn.  Arlington ISD offers healthy meals every school day.  Breakfast costs $1.35; lunch costs $2.65 elementary and $2.80 secondary.  Your children may qualify for free meals or for reduced-price meals.  Reduced price is $.30 for breakfast and $.40 for lunch.  If you received a notification letter that a child is directly certified for free meals, DO NOT complete an application.  Let the school know if any children in the household attending school are not listed in the letter.

The following questions, answers  and directions will provide information about the Free and Reduced-Price Meal Program.  Complete only one Application for all the students in the household and return the completed application to Food & Nutrition Services Office, 1206 W. Arkansas Ln, Arlington, TX 76013.  If you have questions about hot to apply for free or reduced-price meals call 682.867.7895.
Who can get free meals?
* Income – Your children can get free or reduced-price meals if your household’s gross income (total, without deductions) is within the limits described on the Federal Income Eligibility Guidelines.
* Special Program Participants – All children in households receiving benefits from Supplemental Nutrition Assistance Program (SNAP), Food Distribution Program on Indian Reservations (FDPIR), or Temporary Assistance for Needy Families (TANF), can get free meals. 
* Foster – Foster children under the legal responsibility of a foster care agency or court are eligible for free meals. 
* Head Start, Early Head Start, and Even Start  – Children participating in these programs are eligible for free meals.
* Homeless, Runaway, and Migrant – Children who meet the definition of homeless, runaway, or migrant qualify for free meals.  If you have not been told about a child’s status as homeless, runaway, or migrant, please call or email AISD Homeless Liaison  at phone # 682.867.7452, email Tori Sisk at tsisk@aisd.net or Migrant Coordinator at phone # 817.740.7598 email Tonya Munoz at tmunoz@esc11.net.
* WIC Recipient – Children in households participating in WIC may be eligible for free or reduced-price meals.
My child’s application was approved last year.  Do I need to fill out another one?  Yes.  An application is only good for one school year and the first few days of this school year.  You must send in a new application unless the school told you that your child is eligible for the new school year.
What if my income is not always the same?  List the amount that you normally receive.  If you have lost a job or had your hours/wages reduced, use your current income.
We are in the military.  Do we report our income differently?  Basic pay and cash bonuses must be reported as income.  Any cash value allowances for off-base housing, food, or clothing, or Family Subsistence Supplemental Allowance payments count as income.  If housing is part of the Military Housing Privatization Initiative, do not include the housing allowance as income.  Any additional combat pay resulting from deployment is exlcluded from income.
May I apply if someone in my household is not a U.S. citizen?  Yes.  You, your children, or other household members do not have to be U.S. citizens to apply for free or reduced-price meals.
Will the Application Information I give be checked?  Yes, and we may also ask you to send written proof of the reported household income.
If I do not qualify now, may I apply later? Yes.  Apply at any time during the school year.  A child with a parent or guardian who becomes unemployed may become eligible for free and reduced-priced meals if the household income drops below the income limit.
Can I Apply Online?  Yes! The online application has the same requirements and will ask you for the same information as the paper application.  Visit http://arlingtonisd.schoollunchapp.com to begin or to learn more about the online application process.  Contact Food & Nutrition Services Office, 1206 W. Arkansas Ln, Arlington, TX 76013, 682-867-7895, hhart@aisd.net if you have questions about the online process.
What if I disagree with the school’s decision about my application?  You should talk to school officials.  You may ask for a hearing by calling or writing to Food & Nutrition Services Director, 1206 W. Arkansas Ln, Arlington, TX 76013, at phone #  682.867.7880.
My family needs more help.  Are there other programs we might apply for?  To find out how to apply for other assistance benefits, contact your local assistance office or 2-1-1.
If you have other questions or need help, call FNS Compliance Coordinator at 682.867.7895. Si necesita ayuda, por favor llame al telefono:FNS Compliance Coordinator at 682.867.7895.

 

Adult Income Information Box
Earning from Work—General Record the amount earned before taxes and other deductions for salary, Wages, Cash Bonuses and Strike Benefits.  U.S. Military report Basic Pay and Cash Bonuses, Allowances for Off-Base Housing, Food and Clothing. Self Employed report Net Income from Self-Employment (farm or business)-calculated by subtracting the Total Operating Expenses of your business from its Gross Receipts or Revenue.
Public Assistance/Alimoney/Child Support –Unemployment Benefits, Worker’s Compensation, Supplemental Security Income, Cash assistance from State or local government, Alimony payments, Court ordered Child Support payments (informal payments should be reported as other income), Veteran’s benefits.
Pensions/Retirement—Social Security, Private Pensions or Disability, Income from Trusts or Estates, Annuities.                                                                         

All Other Income - Investment Income, Earned Interest, Rental Income, Regular Cash payments from outside household.                                                    

How Often Income is Received (frequency) - Record type of income received W=Weekly, E=Every other week, T=Twice a month, M=Monthly or A=Annually.  You should be able to find this information on your pay stub, or ask your employer.

Child Income Information Box
Earning from work—Example—A child has a job where she or he earns a salary or wages.
Social Security, Disability Payment—Example—A child is blind or disabled and receives Social Security benefits.
Social Security, Survivor’s Benefits—Example—A parent is disabled, retired, or deceased, and their child receives social security benefits.
Income from any other source—Example—A child receives income from a private pension fund, annuity, or trust.

 

FEDERAL INCOME CHART
For School Year 2017-2018

Household size Annual Monthly Twice per Month Every Two Weeks      Weekly
1 $22,311 $1,860 $930 $859 $430
2 $30,044 $2,504 $1,252 $1,156 $578
3 $37,777 $3,149 $1,575 $1,453 $727
4 $45,510 $3,793 $1,897 $1,751 $876
5 $53,243 $4,437 $2,219 $2,048 $1,024
6 $60,976 $5,082 $2,541 $2,346 $1,173
7 $68,709 $5,726 $2,863 $2,643 $1,322
8 $76,442 $6,371 $3,186 $2,941 $1,471
Each additional person: +$7,733 +$645 +$323 +$298 +$149

Application Instructions

The application must be filled out completely in order for the school to make a determination if the children in your household qualify for free or reduced price school meals. An incomplete application cannot be approved. Contact FNS 682-867-7895 with your questions.

Step 1: List all household members who are infants, children, and students up to and including grade 12.SNAP, TANF, FDPIR: List each child’s name.  Record the child’s grade if the child is in school.  Mark the box following the child’s name if the child is a student in AISD.  Check the appropriate box if the child qualifies for free meals as a participant in the foster care system; Head Start, Early Head Start, or Even Start program; or as a child that meets criteria for Homeless, Migrant or Runaway.  If any household members (including you) currently participate in the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) or Food Distribution Program on Indian Reservations (FDPIR). Record the Eligibility Determination Group (EDG) Number in the space and Skip Step 2 and go to Step 3.or Food Distribution Program on Indian Reservations (FDPIR).
Step 2: Report Income for ALL Household Members (Including Yourself).

Part A: Record the total income for all children  and how often income is received (frequency).

Part B: Record the first and last name of each adult in the household; Record the amount of income each adult receives under the type of income.  Fill in the circle for how often each type of income is received.  Part C: Record total number of children and adults in the household in the appropriate box. 

Part D:Provide the last four digits of the social security number (SSN)  of an adult in the household or check the box for no SSN.
Step 3: Provide Contact Information and Adult Signature. Read the certification statement.  Sign and record today’s date in the appropriate box.  Print the name of the adult signing the form.  Write your current address and contact information in the fields provided.
Step 4: Return the Application Please return to child’s school cafeteria manager or mail to: Arlington ISD Food & Nutrition Services, 1206 W. Arkansas Ln., Arlington, TX 76013.


The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give the information, but if you do not, we cannot approve your child for free or reduced price meals. You must include the last four digits of the social security number of the adult household member who signs the application. The last four digits of the social security number is not required when you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian Reservations (FDPIR) case number or other FDPIR identifier for your child or when you indicate that the adult household member signing the application does not have a social security number. We will use your information to determine if your child is eligible for free or reduced price meals, and for administration and enforcement of the lunch and breakfast programs. We MAY share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for their programs, auditors for program reviews, and law enforcement officials to help them look into violations of program rules.

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: program.intake@usda.gov

This institution is an equal opportunity provider.