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Free and Reduced-Price Applications, p.14. Nonpricing Program, p. 16. No separate charges are made for meals served to the program participants. The participants’ meals are covered by tuition payments and no money is exchanged at meal time. F/RP Apps. Page 14 – Instructions
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Nonpricing Program, p. 16 No separate charges are made for meals served to the program participants. The participants’ meals are covered by tuition payments and no money is exchanged at meal time.
F/RP Apps • Page 14 – Instructions • Page 15 – Form to be completed • Changes every year in August (effective 10/1) • Pages 17 & 18 – Detailed Instructions
F/RP Applications Every participant claimed in the free or reduced-price category MUST have a complete F/RP application on file. P. 17, Circle this!
If you want to receive the free or reduced-price rates, you must have a F/RP App…
For Profit Centers • You are eligible to participate by: • Holding a current license and • Having a minimum of 25% Free and Reduced-price participants each month • Decide to go church-exempt – off the program • Have less than 25% Free and Reduced-Price Participants – may not claim that month • Decide these applications are too much trouble – off the program
F/RP Apps • Means • Money • Eligibility
Instructions - Side 2 (p. 14 & 19) Complete name of center and name of Official Representative. To: The Household Member From: The Official Representative of the Sponsor _________________(Signature) (Name of Center or Organization ______________________________________ Susan R. Davis Hokey’s Hideaway
Confidentiality The information given on the application is used only to determine the eligibility of the participant for free or reduced-price meals and to verify eligibility. Confidential p.14, bottom
Only complete one of these Quick Review • Enrolled Children • Up to 4 per form • Foster Children • Households That Receive Assistance • Household Income • Health Insurance • Signature and Social Security Number
Step 1 - Enrolled Participants, p. 19 • List all children in the household who are enrolled • If more than 4; complete 2nd F/RP App Brown, Mary Lou 3/4/2048 Brown, Tonya 3/29/2046
Nicknames - list in parenthesis Jackson, Sharon (Sherry) Jones,George (Buster)
Step 1 – List names of all Enrolled Participants (including nicknames)
Step 2 - Foster Child, p. 20 2. If this is a FOSTER CHILD, check here ____. List the Foster Child’s monthly income. $____ (Write “0” if none is received.) Complete a separate application for each foster child. • State-placed foster children • Foster child’s personal use income; • Not the foster parent’s income • Not the foster care payments 0
Foster Child Rules • A SEPARATE F/RP Application must be completed for each foster child • A foster child is a family of ONE • Only Step 2 is completed (not 3 or 4) • The foster parent does NOT have to provide a social security number p. 20
Step 2 - Foster Child Exercise Complete the F/RP Application for Samuel Smith: • Samuel and Jason Smith are foster brothers • Samuel is called “SS” • Samuel was born 10/15/50; Jason 1/1/48 • Samuel and Jason have an allowance from their mother of $20 a month
Step 2 - Foster Child Smith, Samuel (SS) 10/15/50 Where is Jason? 2. If this is a FOSTER CHILD, check here ____. List the Foster Child’s monthly income. $____ (Write “0” if none is received.) Complete a separate application for each foster child. 20
Foster Child Rules 1.A SEPARATE F/RP Application must be completed for each foster child 2. A foster child is a family of ONE 3. Only Step 2 is completed (not 3 or 4) 4. The foster parent does NOT have to provide a social security number p. 20
Step 3 - Households Receiving Assistance, p. 20 3.HOUSEHOLDS NOW GETTING FOOD STAMPS OR TANF (Temporary Assistance for Needy Families) FOR THEIR CHILDREN . Skip PART 4. Go to PART 5. Food Stamp Case Number: _________________________________ TANF Case Number: _________________ Participants providing a Food Stamp or TANF number are “categorically eligible” for free meals Categorically = Automatically 499-00-0008 p. 20
Step 4 - Households Members and Monthly Income, p. 21 Anthony Carter 1200 Mary Lynn Carter 600 Rosalie Carter Antonio Carter Households that do not complete Parts 2 or 3 must complete Part 4.
Household Members and Monthly Income • Monthly Income is Required • If given weekly – multiply by 4.33 • If given every 2 weeks – multiply by 2.15 • If given twice a month – multiply by 2 $200 a week: $200 every 2 weeks: 4.33 X $200 = $866 2.15 X $200 = $438 Bottom of F/R App, p.15
Household Members and Monthly Income • All household members must be listed in part 4 including enrolled children • An unborn child is not listed • If parts 3 and 4 are listed, use only part 3 p. 21, #2, 3,4
Household Members and Monthly Income What if a parent doesn’t want to give you their income? Write “above guidelines” or N/A” in Part 4 p. 21, #4
Step 5 – Health Insurance Parent checks box if OK to share information with Medicaid or the Children’s Health Insurance Program (CHIP) Currently… no sharing is done! p. 21
Step 6 - Signature and Social Security Number, p.22 Rosalie Carter 539-888-0001 618-4444 718-3210 Rosalie Carter Mapleville, AL 30006 2/28/2050 126 Washington St. Signed by an adult household member or case worker
Signature and Social Security Number • Parent or guardian signature is required • Applications not signed - Paid • Social Security number required if part 4 completed • If not provided, may get from other source • If can’t get - Paid p. 22, #1,2,3,4
Step 7 –Ethnicity and Race, p. 22 Households are asked to identify the ethnic and racial identity of each participant. If not reported, you must complete!
Ethnicity and Race ETHNICITY: Hispanic or Latino Not Hispanic or Latino Hispanic or Latino – A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. p. 15, item 7
Ethnicity and Race RACE: American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other p. 15, item 7
Step 7 –Ethnicity and Race One or more racial designation may be marked The parent is not required to give this information • if parent doesn’t mark, you must p. 22
Step 8 - For Sponsor Use Only, p. 23 4 1800 Susan R. Davis 2/28/2050 • This section is completed by center designated person • No more than two persons should ever review this document
Approving the Application • Be sure all children in the household enrolled at your center are listed in Part 1 • Make sure the F/RP Application is complete. All required information must be included. p. 23, #1 & 2
Cook, Cynthia What’s Missing! 7778-558-544
Drew, Dennis 1/1/50 What’s Missing! Sharon Drew 700 $5.50 Karen Drew 900 Stan Drew Sharron Cook 4/1/50
Approving the Application • If Part 3 completed – Categorically Eligible Free Susan R. Davis 2/28/2050
Cook, Cindy 1/1/50 Part 3 Completed 111-555-545 Is all required information complete? Sharon Cook 2/28/50 Categorically Eligible Free Susan Davis 2/28/50
Approving the Application • If Part 3 completed – Categorically Eligible Free Susan R. Davis 2/28/2050
Approving the Application If Part 4 completed - • Household size • Monthly Income • Eligibility 3 1000 Susan R. Davis 2/28/2050
Cook, Cindy 1/1/50 Part 4 Completed Is all required information complete? Sharon Cook 700 Sam Cook 700 Cindy Cook • Complete: • Household Size • Monthly Income • Eligibility Category Sharon Cook 444-90-9823 2/28/50 3 1400 Susan Davis 2/28/50
Approving the Application If Part 4 completed - • Household size • Monthly Income • Eligibility 3 1000 Susan R. Davis 2/28/2050
Approving the Application If Part 2 completed - Foster Child • Household size • Monthly Income • Eligibility 1 0 Susan R. Davis 2/28/2050
Cook, Cindy 1/1/50 Part 2 Completed 0 Is all required information complete? • Complete: • Household Size • Monthly Income • Eligibility Category Sandra Smith 2/28/50 1 0 Susan Davis 2/28/50
Approving the Application Households with Zero income, p.23 • Approved as free for 60 days • Re-approve every 60 days • If still $0 income, note on application; initial and date • If change in status, a new applicationmust be completed
? Approving the Application Date approved must be same as or after date signed by parent! 2/2/50 1/25/50
Approving the Application • Information on the F/RP Application is valid for one calendar year • A new applications MUST be taken each year in August and September to be in effect October 1 p. 23, #5
Evaluating F/RP Applications, p. 24 HOUSEHOLD SIZE For FREE For REDUCED- Meal Benefits PRICE Meal Benefits Monthly Monthly 1 $ 1,107 $1,108 and 1,575 2 1,484 1,485 and 2,111 3 1,861 1,862 and 2,648 4 2,238 2,239 and 3,184 5 2,615 2,616 and 3,721 6 2,992 2,993 and 4,2572 7 3,369 3,370 and 4,794 8 3,746 3,747 and 5,3300 For each additional family member, add +377 +537 NOTE: To convert weekly income figures to monthly figures, multiply weekly income by 4.33. To convert bi-weekly income figures to monthly figures, multiply bi-weekly income by 2.15.To convert twice-a-month income figures to monthly figures, multiply income by 2.
What if they don’t give you monthly income? Convert to monthly: • Weekly, multiply by 4.33 • Bi-weekly, multiply by 2.15 • Twice a month, multiply by 2 • Hourly - household must tell you the average number of hours per week, or average weekly salary p.24, under chart
Example: Convert to monthly: ____________ x _________ = _________ monthly Robin Keever 450 per week Susan Keever 450 4.33 1948.50 Reduced
Example: Convert to monthly: ____________ x _________ = ________ monthly Kevin Hutchinson 250 every two weeks Carlos Hutchinson Cynthia Hutchinson 537.50 250 2.15 Free
Example: Kevin Hutchinson 5.50 Carlos Hutchinson Ask – average number of hour worked per week; convert to monthly If 40 hours per week, then 40 x $5.50 = $220 x _____ = _____ Cynthia Hutchinson 4.33 952.60 Free