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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 |
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Only one application needed per household except for households with foster children. Submit a separate application for each foster child. |
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If you receive FOOD STAMPS: |
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- You must complete sections:
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- The adult Social Security Number is not required.
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- You MUST provide your Food Stamp/TANF Household Case Number (NOTE: This is not your Nevada Quest Card Number).
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- You must provide the 6 or 7 digit unique Student Identification Number that was assigned when you enrolled your child(ren) in school.
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PLEASE NOTE: if all children in the household are not assigned a Food Stamp/TANF Number you MUST complete the entire application. |
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If you are applying for a FOSTER CHILD: |
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- You must complete sections:
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- List only one foster child per application.
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- The adult Social Security Number is not required
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- List any personal income recieved by the Foster Child ( indicate $0 if they have no income ).
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For all other applicants, complete the following sections of the application: |
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List all students attending Clark County School District |
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List student's Monthly Gross Income or check the "No Income" box. This is not the Adult Household Member's Income. |
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List all other household members and monthly gross income |
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Total ALL household members in sections |
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Mark Racial Identity |
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Complete Social Security Number, address, and telephone number. Mark the Box if you do not have a Social Security Number |
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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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