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Instructions for completing the

2009-2010 Family Application for Meal Benefits

(Complete ONE application per HOUSEHOLD, unless you are applying for Foster Children, or have some children receiving Food Stamps)

Please read carefully: An incomplete application cannot be processed. Benefits will not begin until the application has been processed in the main office of the Food Service Department.

For assistance in completing the application, please call 1-800-819-7556

                                                 
       
Only one application needed per household except for households with foster children. Submit a separate application for each foster child.
           
                                                 
              If you receive FOOD STAMPS:                      
            Section 1Section 2Section 6Section 7Section 9          
  • You must complete sections:
         
  • The adult Social Security Number is not required.
  • You MUST provide your Food Stamp/TANF Household Case Number (NOTE: This is not your Nevada Quest Card Number).
  • You must provide the 6 or 7 digit unique Student Identification Number that was assigned when you enrolled your child(ren) in school.
PLEASE NOTE: if all children in the household are not assigned a Food Stamp/TANF Number you MUST complete the entire application.
 
        If you are applying for a FOSTER CHILD:    
Section 1Section 3Section 4Section 6Section 7Section 9
  • You must complete sections:
 
  • List only one foster child per application.
             
  • The adult Social Security Number is not required
         
  • List any personal income recieved by the Foster Child ( indicate $0 if they have no income ).
                                         
For all other applicants, complete the following sections of the application:
Section 1
List all students attending Clark County School District

Section 3

List student's Monthly Gross Income or check the "No Income" box. This is not the Adult Household Member's Income.
Section 5
List all other household members and monthly gross income
Sectioin 6 Section 1 Section 5
Total ALL household members in sections &  
Section 7
Mark Racial Identity
Section 10
Complete Social Security Number, address, and telephone number. Mark the Box if you do not have a Social Security Number
Section 9
Sign and Date the application
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WARNING!

DO NOT PRINT THIS APPLICATION. It is for instructional purposes only. Applications are available at elementary, middle, outlying high schools, most local highschools and at the main office of the Food Service Dept. at 6350 E. Tropical, Las Vegas, NV.
For more information please call 1-800-819-7556

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This information is brought to you by the dedicated employees of the Clark County School District Food Service Department.

"Food Service - Fuel for Student Achievement "