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You are here: Home / Agreements / 2018-19 SY Agreement Renewal / 2018-19 Agreement and Free & Reduced Price Policy Statement for RCCI

2018-19 Agreement and Free & Reduced Price Policy Statement for RCCI

Document and Purpose

SFA Action/Instructions

2018-19 Agreement and Free & Reduced Price Policy Statement 

2018-19 Agreement and Free & Reduced Price Policy Statement w/highlights


The Agreement outlines the terms between the State Agency (SA) and the LEA/SFA (Local Education Agency/School Food Authority) dictating requirements to administer one or more of the School Nutrition Program (SNP).

The Free and Reduced Price Policy Statement outlines officials designated to make eligibility determinations for the SNP.  Furthermore, it marks that the LEA/SFA will develop procedures to provide benefits to student.

  • PRINT and maintain this document on file at the SFA along with the other 2018-19 Agreement Renewal documentation.
  • This is a checklist item in the Online Application
  • Agreements with highlighted changes are provided for FYI purposes ONLY.  Please DO NOT submit the highlighted version to the State Agency.

Signature Page

The Signature Page is indication by the LEA/SFA that all terms and conditions of the agreement and policy statement will be followed.

  • This is a checklist item in the Online Application
  • Must be completed by ALL SFAs.
  1. PRINT three (3) Signature pages. 
  2. OBTAIN the Superintendent, SN Administrator/Director and Finance Officer signatures on each page in BLUE ink. 
    NOTE: Do not submit copies of signature pages.  EACH page must be signed in blue ink.
  3. SUBMIT all three (3) signature pages to the State Agency.

Attestation of Compliance with Meal Pattern Requirements

This is the annual confirmation and an indication that all meals provided by the SFA to all students will meet current meal pattern requirements.

  • This is a checklist item in the Online Application
  • Must be completed by ALL SFAs.
  1. PRINT document.
  2. OBTAIN SN Director signature
  3. SUBMIT one (1) copy to state agency.

Effective Date of Free or Reduced Price School Meals Household Application Eligibility Determination

This form documents the SFA's selected method of establishing the effective date of certification/eligibility for the F&RP School Meals Household Application; Date of Submission or Date of Eligibility.

  1. PRINT document.
  2. SELECT the appropriate Option (check box).
  3. OBTAIN SN Administrator signature
  4. SUBMIT one (1) copy to state agency.


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