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Yellow Springs Exempted Village Schools

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Yellow Springs Exempted Village Schools

Yellow Springs Exempted Village School District today announced its
2014-2015 program year policy for free and reduced-price meals for
students unable to pay the full price of meals or milk served under the
National School Lunch and School Breakfast, Policy 8531, Free and Reduced
Priced Meals, is available on the district website at

The Federal Income Eligibility Guidelines will be used for determining
eligibility. Children from families whose annual income is at or below the
Federal Guidelines are eligible for free and reduced price meals or free milk
if the school participates in the Special Milk Program.

Application forms are being distributed to all homes in a letter to parents
or guardians. To apply for free and reduced-price benefits, households
should fill out the application and return it to the school. Additional copies
are available at the principal’s office in each school. A complete application
is required. Households which currently receive Special Nutrition Assistance
Program Benefits (SNAP, formally known as food stamps) or Ohio Works
First (OWF) funds for a child must provide the child’s name, the SNAP or
OWF case number and signature of an adult household member on the
application. Households which do not receive SNAP or OWF funds must
provide the names of all household members, the last four digits of the
Social Security Number of the adult signing the application or state “none”
if the adult does not have a Social Security Number, the amount and source
of income received by each household member, (state the monthly income)
and the signature of an adult household member. If any of this information
is missing, the school cannot process the application.

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 1-800-3248680
for more information or to request an application. Information can
also be found on the web at
stm. Anyone who has an Ohio Medicaid card is already receiving these

The information provided on the application is confidential and will be
used only for the purpose of determining eligibility and may be verified at
any time during the school year by school or other program official. To
discourage the possibility of misrepresentation, the application forms contain
a statement above the space for signature certifying that all information
furnished is true and correct. Applications are being made in connection
with the receipt of federal funds. Schools or other officials may check the
information on the application at any time during the school year. Deliberate
misrepresentation of information may subject the applicant to prosecution
under applicable state and federal laws.

Households will be notified of the approval or denial of benefits.

Foster children are categorically eligible for free meal benefits regardless
of the household’s income. If a family has foster children living with them
and wishes to apply for such meals or milk for them, contact the school for
more information.

Under the provision of the policy Susan Griffith will review applications
and determine eligibility. If a parent or guardian disagrees with the decision
on the application or the result of verification, the decision may be discussed
with the determining official on an informal basis. If a formal appeal is
desired, the household has the right to a fair hearing. A fair hearing can be
requested either orally or in writing from:

Mr. Mario Basora; 201 S. Walnut Street, Yellow Springs, OH 45387 or
by calling 937-767-7381.

Households may apply for benefits any time during the school year. If a
household is not currently eligible and if the household size increases or
income decreases because of unemployment or other reasons, the family
should contact the school to file a new application. Such changes may
make the children of the family eligible for free or reduced-price benefits if
the family income falls at or below the levels shown above.

The U.S Department of Agriculture prohibits discrimination against its
customers, employees, and applicants for employment on the bases 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, or at any USDA office,
or call (866) 632-9992 to request the form. You may also write a letter
containing all of the information requested in the form. Send your completed
complaint form or letter to us by mail at U.S. Department of Agriculture,
Director, Office of Adjudication, 1400 Independence Avenue, S.W.,
Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.

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.


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