Income Eligibility Guidelines 2021-2022
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Note: The eligibility guidelines below are effective July 1, 2021 to June 30, 2022.
INCOME ELIGIBILITY GUIDELINES
Effective July 1, 2021 to June 30, 2022
Annual Income
| Family Size |
Free Meals or Milk (130% of Poverty Guidelines) |
Reduced Price Meals (185% of Poverty Guidelines) |
Not eligible for Free or Reduced Price Meals or Milk |
One
Two
Three
Four
Five
Six
Seven
Eight |
$0 to $16,744
$0 to $22,646
$0 to $28,548
$0 to $34,450
$0 to $40,352
$0 to $46,254
$0 to $52,156
$0 to $58,058
|
$16,745 to $23,828
$22,647 to $32,227
$28,549 to $40,626
$34,451 to $49,025
$40,353 to $57,424
$46,255 to $65,823
$52,157 to $74,222
$58,059 to $82,621
|
$23,829 and up
$32,228 and up
$40,627 and up
$49,026 and up
$57,425 and up
$65,824 and up
$74,223 and up
$82,622 and up
|
| |
|
|
|
| For each additional family member, Add: |
+$5,902
|
+$8,399
|
+$8,400
|
For Free Meals or Free Milk
| Family Size |
Annual Income |
Once a Month |
Twice a Month (24 pay periods/year) |
Every Two Weeks (26 pay periods/year) |
Every Week |
One
Two
Three
Four
Five
Six
Seven
Eight |
$16,744
$22,646
$28,548
$34,450
$40,352
$46,254
$52,156
$58,058
|
$1,396
$1,888
$2,379
$2,871
$3,363
$3,855
$4,347
$4,839
|
$ 698
$ 944
$1,190
$1,436
$1,682
$1,928
$2,174
$2,420
|
$ 644
$ 871
$1,098
$1,325
$1,552
$1,779
$2,006
$2,233
|
$ 322
$ 436
$ 549
$ 663
$ 776
$ 890
$1,003
$1,117
|
| For each additional family member, Add: |
+$5,902
|
+$492 |
+$246 |
+$227 |
+$114 |
For Reduced Price Meals
| Family Size |
Annual Income |
Once a Month |
Twice a Month (24 pay periods/year) |
Every Two Weeks (26 pay periods/year) |
Every Week |
One
Two
Three
Four
Five
Six
Seven
Eight |
$23,828
$32,227
$40,626
$49,025
$57,424
$65,823
$74,222
$82,621
|
$1,986
$2,696
$3,386
$4,086
$4,786
$5,486
$6,186
$6,886
|
$ 993
$1,343
$1,693
$2,043
$2,393
$2,743
$3,093
$3,443
|
$ 917
$1,240
$1,563
$1,886
$2,209
$2,532
$2,855
$3,178
|
$ 459
$ 620
$ 782
$ 943
$1,105
$1,266
$1,428
$1,589
|
| For each additional family member, Add: |
+$8,399
|
+$700 |
+$ 350 |
+$ 324 |
+$ 162 |
Conversion required if there are multiple income sources with more
than one frequency, the LEA must annualize all income by multiplying:
- weekly income by 52
- bi-weekly income (received every two weeks) by 26
- semi-monthly income (received twice a month) by 24
- monthly income by 12
|
Use of Information Statement: This explains how we will use the information you give us.
The Richard B. Russell National School Lunch Act requires the
information on this application. You do not have to give the
information, but if you do not, we cannot approve your child for free or
reduced price meals. You must include the last four digits of the
social security number of the adult household member who signs the
application. The last four digits of the social security number is not
required when you apply on behalf of a foster child or you list a
Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance
for Needy Families (TANF) Program or Food Distribution Program on Indian
Reservations (FDPIR) case number or other FDPIR identifier for your
child or when you indicate that the adult household member signing the
application does not have a social security number. We will use your
information to determine if your child is eligible for free or reduced
price meals, and for administration and enforcement of the lunch and
breakfast programs. We MAY share your eligibility information with
education, health, and nutrition programs to help them evaluate, fund,
or determine benefits for their programs, auditors for program reviews,
and law enforcement officials to help them look into violations of
program rules.
In accordance with Federal civil rights law and U.S. Department
of Agriculture (USDA) civil rights regulations and policies, the USDA,
its Agencies, offices, and employees, and institutions participating in
or administering USDA programs are prohibited from discriminating based
on race, color, national origin, sex, disability, age, or reprisal or
retaliation for prior civil rights activity in any program or activity
conducted or funded by USDA.
Persons with disabilities who require alternative means of
communication for program information (e.g. Braille, large print,
audiotape, American Sign Language, etc.), should contact the Agency
(State or local) where they applied for benefits. Individuals who are
deaf, hard of hearing or have speech disabilities may contact USDA
through the Federal Relay Service at (800) 877-8339. Additionally,
program information may be made available in languages other than
English.
To file a program complaint of discrimination, complete the
USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and
at any USDA office, or write a letter addressed to USDA and provide
in the letter all of the information requested in the form. To request a
copy of the complaint form, call (866) 632-9992. Submit your completed
form or letter to USDA by:
(1) Mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW Washington, D.C. 20250-9410;
(2) Fax: (202) 690-7442; or
(3) E-mail: program.intake@usda.gov.
This institution is an equal opportunity provider.
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