2016-17 HOUSEHOLD LETTER FOR
FREE AND REDUCED PRICE LUNCHES

Dear Parent/Guardian:
 
Byron Public School offers healthy meals each day. Children in grades K-5 may buy lunch for $2.35, middle school children grades 6-8 for $2.40 and high school children grades 9-12 for $2.70.

Your children may qualify for free or reduced-price school meals. Parents and Guardians are now able to complete an Application for Educational Benefits-Free and Reduced Meals online! To complete an online application: https://lunchapplication.com/ or go to the Byron School District Website at http://www.bears.byron.k12.mn.us. Under the heading Parents and Guardians scroll down to click on Application for Educational Benefits-Free and Reduced Meals. Next, click the tab on the left titled ‘Online Free and Reduced Meal Application’. Click on Apply Now and complete the application. You will be notified instantly if you qualify. If you prefer paper, you may complete the enclosed Application for Educational Benefits following the instructions. A new application must be submitted each year. At Byron Public Schools, your application also helps the school qualify for education funds and discounts.

State funds help to pay for reduced-price school meals, so all students who are approved for either free or reduced-price school meals will receive school meals at no charge. State funds also help to pay for breakfasts for kindergarten students, so all participating kindergarten students will receive breakfasts at no charge.  
If a child has been determined by a physician to have a disability and the disability prevents the child from eating the regular meal, we will make modifications or substitutions prescribed by the physician at no additional charge. Lactose-reduced milk will be provided upon written request of a parent.
Apply online or return your completed paper Application for Educational Benefits to: Byron School District Office, Attn: Deb Brown, 630 1st Ave NW, Byron, MN 55920.
 
Who can get free school meals? Children in households participating in the Supplemental Nutrition Assistance Program (SNAP), Minnesota Family Investment Program (MFIP) or Food Distribution Program on Indian Reservations (FDPIR), and foster, homeless, migrant and runaway children can get free school meals without reporting household income. Also, children can get free school meals if their household income is within the maximum income shown for their household size.
I get WIC. Can my children get free school meals? Children in households participating in WIC may be eligible for free school meals. Please fill out an application online or paper copy. 
May I apply if someone in my household is not a U.S. citizen? Yes. You or your children do not have to be U.S. citizens for your children to qualify for free or reduced-price school meals.
Who should I include as household members? Include yourself and all other people living in the household, related or not (such as grandparents, other relatives, or friends).
What if my income is not always the same? List the amount that you normally get. If you normally get overtime, include it, but not if you get overtime only sometimes.
Will the information I give be checked? Yes, and we may also ask you to send written proof.
How will the information be kept? Information you provide on the form, and your child’s approval status for school meal benefits, will be protected as private data. For more information see the back page of the Application for Educational Benefits.
If I don’t qualify now, may I apply later? Yes. Please complete an application at any time if your income goes down, your household size goes up, or you start getting SNAP, MFIP or FDPIR benefits.
 
Please provide the information requested about children’s racial identity and ethnicity, which helps to make sure we are fully serving our community. This information is not required for approval of school meal benefits.
 
If you have other questions or need help, call Deb Brown, 775-2383.
 
How to Complete the Application for Educational Benefits
Complete the Application for Educational Benefits form for school year 2016-17 if any of the following applies to your household:
  • Any household member currently participates in the Minnesota Family Investment Program (MFIP), or the Supplemental Nutrition Assistance Program (SNAP), or the Food Distribution Program on Indian Reservations (FDPIR). or
  • The household includes one or more foster children (a welfare agency or court has legal responsibility for the child). or
  • The total income of household members is within the guidelines shown below (gross earnings before deductions, not take-home pay). Do not include as income: foster care payments, federal education benefits, MFIP payments, or value of assistance received from SNAP, WIC, or FDPIR. Military: Do not include combat pay or assistance from the Military Privatized Housing Initiative. The income guidelines are effective from July 1, 2016 through June 30, 2017.
 
Maximum Total Income
Household Size $ Per Year $ Per Month $ Twice Per Month $ Per 2 Weeks $ Per Week
1 21,978 1,832 916 846 423
2 29,637 2,470 1,235 1,140 570
3 37,296 3,108 1,554 1,435 718
4 44,955 3,747 1,874 1,730 865
5 52,614 4,385 2,193 2,024 1,012
6 60,273 5,023 2,512 2,319 1,160
7 67,951 5,663 2,832 2,614 1,307
8 75,647 6,304 3,152 2,910 1,455
Add for each additional person 7,696 642 321 296 148
Step 1  Children
List all infants and children in the household, their birthdate and, if applicable, their grade and school. Attach an additional page if needed to list all children. Fill in the circle if a child is in foster care (a welfare agency or court has legal responsibility for the child). Please provide the requested information on ethnicity and race for each child. This information is not required and does not affect approval for school meal benefits. The information helps to make sure we are meeting civil rights requirements and fully serving our community.
Step 2  Case Number Circle Yes or No to show whether any household member currently participates in any of the three assistance programs listed in Step 2. If you answer Yes, write in the case number and go to Step 4 (skip Step 3). If you answer No, continue on to Step 3. WIC and Medical Assistance (M.A.) do not qualify for this purpose.
Step 3  Adults / Incomes / Last 4 Digits of Social Security Number
  • List all adults living in the household (everyone not listed in Step 1) whether related or not, such as grandparents, other relatives, or friends. Include any adult who is temporarily away from home, like a student away at college. Attach another page if necessary.
  • List gross incomes before deductions, not take-home pay. Do not list an hourly wage rate. For adults with no income to report, enter a ‘0’ or leave the section blank. This is your certification (promise) that there is no income to report for these adults.
  • For each income, fill in a circle to show how often the income is received: each week, every other week, twice per month, or monthly. 
  • For farm or self-employment income only, list the net income per year or month after business expenses. A loss from farm or self-employment must be listed as 0 income and does not reduce other income.
  • Last four digits of Social Security number – The adult household member signing the application must provide the last four digits of their Social Security number or check the box if they do not have a Social Security number.
  • Regular incomes to children – If any children in the household have regular income, such as SSI or part-time jobs, list the total amount of regular incomes received by all children. Do not include occasional earnings like babysitting or lawn mowing.

Step 4  Signature and Contact Information  An adult household member must sign the form. If you do not want your information to be shared with Minnesota Health Care Programs, check the “Don’t share” box in Step 4.    


Contact: Deb Brown, Administrative Assistant

BYRON PUBLIC SCHOOLS

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