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August 17, 2015

Dear Parent or Guardian:

Children need healthy meals to learn. Henrico County Public Schools offers healthy meals every school day.  Student breakfast costs $1.50 and lunch costs $2.65. Your children may qualify for free meals or for reduced price meals.  Reduced price breakfast costs $ .30 and lunch costs $.40. All meals served must meet standards established by the U.S. Department of Agriculture.  However, if a student has been determined by a doctor to be disabled and the disability prevents the student from eating the regular school meal, the school will make substitutions prescribed by the doctor. A Doctor’s note must be presented in order for special accommodations to be met. A note from a parent/household will not suffice.  If a substitution is prescribed, there will be no extra charge for the meal.  If your student needs substitutions because of a disability and/or life threatening allergy please contact Jamie Holubar, R.D. at 804-226-5535 for further information.  
Children who are members of households receiving Supplemental Nutrition Assistance Program (SNAP) benefits (formerly the Food Stamp Program) or Temporary Assistance for Needy Families (TANF) are eligible for free meals regardless of income.  Foster children who are the legal responsibility of a welfare agency or court are eligible for free meals regardless of the income of the household with whom they reside.  Children who are members of households participating in WIC may also be eligible for free or reduced-price meals based on the household’s income.  If your total household income is at or below the Federal Income Eligibility Guidelines, shown on the chart below, your child(ren) may get free meals or reduced price meals.  Your child(ren)’s application from last school year is only good for the first few days of this school year.  YOU MUST SEND IN A NEW HOUSEHOLD APPLICATION FOR EACH SCHOOL YEAR.

How to Apply:

Effective July 1, 2015 to June 30, 2016
      Size      Yearly    Monthly    Weekly
   1      21,775     1,815          419
   2      29,471      2,456         567
   3      37,167      3,098         715
    4      44,863     3,739          863
        5      52,599      4,380         1,011
        6      60,225      5,022         1,159
        7      67,591      5,663         1,307
        8      75,647      6,304         1,455

For Each Additional Family Member
   Add      +7,696      +642         +148

Households that are receiving SNAP or TANF for their children before July 1 may not have to fill out an application.   School Nutrition Services Office will notify you in writing of your child’s eligibility and your child will be provided meal  benefits, unless you tell the office that you do not wish to receive them. If you are not notified by Monday September 15, 2015, you must submit an application.  The application must contain the name of all students in the household, the SNAP or TANF case number, and the signature of an adult household member

If you do not receive SNAP or TANF benefits for your child(ren) complete the application and return it to the school division. An income based application must contain the child’s name, the names of all household members, and the amount of income each person received last month and how often the income is received. An adult household member must sign the application and include their social security number. If the person does not have a number, check the box provided. If the application is submitted with missing information, it is considered incomplete and will not be processed.

If you are applying for a Foster child, who is the legal responsibility of a welfare agency or court, an application may not be required. Contact Betty Hyatt at 226-5530 for more information. If you are applying for a homeless, migrant, or runaway child, an application may not be necessary. Contact Deborah Reed (homeless liaison) at 652-3854.

FEDERAL INCOME GUIDELINES: Your child(ren) may be eligible for free or reduced price meals if your household income is within the limits on the Federal Income Guideline chart shown above.

CONFIDENTIALITY:  School officials use the information on the application to determine if your child is eligible to receive free or reduced-price meals and to verify eligibility. As authorized by the National School Lunch Act, the school division may inform officials connected with other child nutrition, health, and education programs of the information on your application to determine benefits for those programs or for funding and/or evaluation purposes.

VERIFICATION:  Your eligibility may be checked by school officials at any time during the school year.  School officials may ask you to send information to prove that your child(ren) should get free or reduced price meals.

FAIR HEARING:  If you do not agree with the decision made on your family’s eligibility for free or reduced price meals, you may request a fair hearing by writing Dr. Patrick C. Kinlaw, Superintendent of Henrico County Public Schools at 3820 Nine Mile Rd. Henrico, Va 23223 or by calling 226-5544.

REAPPLICATION:  You may reapply for free and reduced price meals any time during the school year.  If you are not eligible now but have a change, such as a decrease in household income, an increase in household size, become unemployed or get SNAP or VA TANF for your child, fill out an application at that time.

OTHER BENEFITS:  Your child may be eligible for other benefits such as the Virginia children’s health insurance program and Medicaid.  The law now allows the school division to share your free or reduced price meal eligibility information with Medicaid and the Virginia children’s health insurance program called Family Access to Medical Insurance Security (FAMIS).  Medicaid and FAMIS can only use the information to identify children who may be eligible for free or low-cost health insurance, and to enroll them in either Medicaid or the Virginia children’s health insurance program.  These agencies are not allowed to use the information from your free or reduced price meal application for any other purpose.  Medicaid officials or officials with FAMIS may contact you to get more information.  You are not required to allow us to share this information with Medicaid or the FAMIS program.  Your decision will not affect your children’s eligibility for free and reduced price meals.  If you do not want us to share this information, please check the appropriate box in Section 6 of the application.

If you need help filling out the application form, please contact the school your child attends or the School Nutrition Office at 226-5544


Paul E. Kelly
Director, Henrico County School Nutrition Services

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The U.S. Department of Agriculture (USDA) 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 if 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 http://www.ascr.usda.gov/complaint_filing_cust.html, 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.intake@usda.gov. 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.