Hoover City Schools

FREE or REDUCED Price Meal Application
Related Documents:
Paper Application Downloadable
Application Information Letter
Spanish Paper Application Downloadable

The National School Lunch Program (NSLP) is a federally assisted meal program operating in public and nonprofit private schools which provides nutritionally balanced, low-cost or free lunches to children each school day.

Apply for benefits online: https://paypams.com/onlineapp.aspx  

Solicitar beneficios en linea: https://paypams.com/onlineapp.aspx

Only one application is required for all children in the household. The online process assures data privacy and determination of student benefits.

For assistance, call 205-439-1060 or 204-439-1061 

Your student may qualify for free or reduced price meals if your household income falls at or below the limits on the chart listed below:

 

FEDERAL ELIGIBILITY INCOME CHART for School Year 2017 - 2018

Household Size

Yearly

Monthly

Weekly

1

22,311

1,860

430

2

30,044

2,504

578

3

37,777

3,149

727

4

45,510

3,793

876

5

53,243

4,437

1,024

6

60,976

5,082

1,173

7

68,709

5,726

1,322

8

76,442

6,371

1,471

Each additional person:

7,733

645

149

Privacy Act Statement: This explains how we use the information you give us.

The Richard B. Russell National School Lunch Act requires the information in this application. You do not have to give the information, but if you do not, we cannot approve your child for free or reduced priced meals. You must include the social security number of the adult household member who signs the application. The social security number is not required when you apply on behalf of a foster child or you list a Food Stamp Program, Temporary Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian Reservations (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 priced meals, and for administration and enforcement of the lunch and breakfast programs. We MAY share your eligibility 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. 

USDA Nondiscrimination Statement: This explains what to do if you believe you have been treated unfairly. 

In accordance with Federal Civil Rights Law and the 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_filling_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all 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) e-mail: programintake@usda.gov


This institution is an equal opportunity provider.

 

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Hoover City Schools
2810 Metropolitan Way, Hoover, Ala. 35243
205-439-1000

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