"Public News Release for Non-pricing Programs" - Florida

Public News Release for Non-pricing Programs is a legal document that was released by the Florida Department of Elder Affairs - a government authority operating within Florida.

Form Details:

  • Released on July 20, 2018;
  • The latest edition currently provided by the Florida Department of Elder Affairs;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Elder Affairs.

ADVERTISEMENT
ADVERTISEMENT

Download "Public News Release for Non-pricing Programs" - Florida

599 times
Rate (4.8 / 5) 42 votes
Adult Care Centers
Public News Release for Non-Pricing Programs
Institution Name
Institution Address
We announce the sponsorship of the U. S. Department of Agriculture’s Child and Adult Care Food Program.
Nondiscrimination Policy
Meals will be available at no separate charge to enrolled eligible participants at the center(s) listed below and will be provided regardless 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.
Free and Reduced Price-Meal Policy Statement
Participants eligible for free and/or reduced-price meals must complete an application with documentation of eligibility information including
number and names of all household members, the last four digits of the Social Security Number of the head of household/primary wage earner or
adult signing the application or an indication that a household member does not have one, total monthly household income or Food Stamps, SSI, or
Medicaid identification number, and the signature of an adult care center participant.
Name of Facility
Address
The Income Eligibility Guidelines for Free and Reduced-Price Meals, effective July 1, 2018 through June 30, 2019
Free Meals
Gross Income
Household Size
Annual Income
Monthly Income
Weekly Income
1
$0-$15,782
$0-$1,316
$0-$304
2
$0-$21,398
$0-$1,784
$0-$412
3
$0-$27,014
$0-$2,252
$0-$520
4
$0-$32,630
$0-$2,720
$0-$628
5
$0-$38,246
$0-$3,188
$0-$736
6
$0-$43,862
$0-$3,656
$0-$844
7
$0-49,478
$0-$4,124
$0-$952
8
$0-$55,094
$0-$4,592
$0-$1,060
For Each Additional Family Member Add
+$5,616
+$468
+$105
Reduced Price Meals
Gross Income
Household Size
Annual Income
Monthly Income
Weekly Income
1
$15,783-$22,459
$1,317-$1,872
$305-$432
2
$21,399-$30,451
$1,785-$2,538
$413-$586
3
$27,015-$38,443
$2,253-$3,204
$521-$740
4
$32,631-$46,435
$2,721-$3,870
$629-$893
5
$38,247-$54,427
$3,189-$4,536
$737-$1,047
6
$43,863-$62,419
$3,657-$5,202
$845-$1,201
7
$49,479-$70,411
$4,125-$5,868
$953-$1,508
8
$55,095-$78,403
$4,593-$6,534
$1,061-$1,508
For Each Additional Family Member Add
+$7,992
+$666
+$154
Name(s) and dates of public information media to which this public news release was sent:
1.
Date Sent:
2.
Date Sent:
3.
Date Sent:
Revised 7/20/2018
Adult Care Centers
Public News Release for Non-Pricing Programs
Institution Name
Institution Address
We announce the sponsorship of the U. S. Department of Agriculture’s Child and Adult Care Food Program.
Nondiscrimination Policy
Meals will be available at no separate charge to enrolled eligible participants at the center(s) listed below and will be provided regardless 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.
Free and Reduced Price-Meal Policy Statement
Participants eligible for free and/or reduced-price meals must complete an application with documentation of eligibility information including
number and names of all household members, the last four digits of the Social Security Number of the head of household/primary wage earner or
adult signing the application or an indication that a household member does not have one, total monthly household income or Food Stamps, SSI, or
Medicaid identification number, and the signature of an adult care center participant.
Name of Facility
Address
The Income Eligibility Guidelines for Free and Reduced-Price Meals, effective July 1, 2018 through June 30, 2019
Free Meals
Gross Income
Household Size
Annual Income
Monthly Income
Weekly Income
1
$0-$15,782
$0-$1,316
$0-$304
2
$0-$21,398
$0-$1,784
$0-$412
3
$0-$27,014
$0-$2,252
$0-$520
4
$0-$32,630
$0-$2,720
$0-$628
5
$0-$38,246
$0-$3,188
$0-$736
6
$0-$43,862
$0-$3,656
$0-$844
7
$0-49,478
$0-$4,124
$0-$952
8
$0-$55,094
$0-$4,592
$0-$1,060
For Each Additional Family Member Add
+$5,616
+$468
+$105
Reduced Price Meals
Gross Income
Household Size
Annual Income
Monthly Income
Weekly Income
1
$15,783-$22,459
$1,317-$1,872
$305-$432
2
$21,399-$30,451
$1,785-$2,538
$413-$586
3
$27,015-$38,443
$2,253-$3,204
$521-$740
4
$32,631-$46,435
$2,721-$3,870
$629-$893
5
$38,247-$54,427
$3,189-$4,536
$737-$1,047
6
$43,863-$62,419
$3,657-$5,202
$845-$1,201
7
$49,479-$70,411
$4,125-$5,868
$953-$1,508
8
$55,095-$78,403
$4,593-$6,534
$1,061-$1,508
For Each Additional Family Member Add
+$7,992
+$666
+$154
Name(s) and dates of public information media to which this public news release was sent:
1.
Date Sent:
2.
Date Sent:
3.
Date Sent:
Revised 7/20/2018