Child Nutrition Services

UNIVERSAL BENEFIT APPLICATION (UBA)

CLICK HERE TO ACCESS THE ONLINE UNIVERSAL BENEFIT APPLICATION

**If you prefer to complete the income survey on paper, paper forms will be available at the office of your student(s)' school**

ADDITIONAL RESOURCES

The CalFresh Program, federally known as the Supplemental Nutrition Assistance Program (SNAP), can add to your food budget to put healthy and nutritious food on the table. The program issues monthly electronic benefits that can be used to buy most foods in many markets and food stores. The CalFresh Program helps to improve the health and well-being of qualified households and individuals by providing them a means to meet their nutritional needs. To find out how to apply for benefits in your county, please call the toll free number 1-877-847-3663 (FOOD), or apply online at Benefitscal.org.

The Women, Infants, and Children (WIC) Supplemental Nutrition Program is a federally-funded health and nutrition program for Women who are pregnant, breastfeeding, or just had a baby; Children under 5 years old (including foster children); Families with low to medium income (working families may qualify). WIC has local offices all over California. For general information, call (888)-WIC-WORKS (888-942-9675) or use the online mobile-friendly website at https://m.wic.ca.gov to find a WIC local agency site near you.

Medi-Cal is free or low-cost health coverage for children and adults with limited income and resources. You can apply online at CoveredCA.com. A single application will let you know if you qualify for Covered California or Medi-Cal coverage. You can apply in person at your local human services agency or over the phone by calling (800) 300-1506. If you need help applying or have a question, you can contact a trained Certified Enrollment Counselor (CEC) for free. Search a list of local Certified Enrollment Counselors or call (800) 300-1506. 

The Second Harvest Food Bank of Santa Clara and San Mateo Counties is one of the largest food banks in the nation. Currently providing food to more than one-quarter of a million people every month. For additional family food and nutrition programs, contact Second Harvest Food Bank at (800) 984-3663.

EARNED INCOME TAX CREDIT INFORMATION ACT COMMUNICATION

Notice: The California Revenue and Taxation Code (RTC) Section 19853(b) requires local educational agencies (LEA) that operate the National School Lunch Program (NSLP) to annually notify households about the Earned Income Tax Credit (EITC) Information Act.

Based on your annual earnings, you may be eligible to receive the Earned Income Tax Credit from the Federal Government (Federal EITC). The Federal EITC is a refundable federal income tax credit for low-income working individuals and families. The Federal EITC has no effect on certain welfare benefits. In most cases, Federal EITC payments will not be used to determine eligibility for Medicaid, Supplemental Security Income, food stamps, low-income housing, or most Temporary Assistance For Needy Families payments. Even if you do not owe federal taxes, you must file a federal tax return to receive the Federal EITC. Be sure to fill out the Federal EITC form in the Federal Income Tax Return Booklet. For information regarding your eligibility to receive the Federal EITC, including information on how to obtain the Internal Revenue Service (IRS) Notice 797 or any other necessary forms and instructions, contact the IRS by calling 1-800-829-3676 or through its Web site at www.irs.gov.

You may also be eligible to receive the California Earned Income Tax Credit (California EITC) starting with the calendar year 2015 tax year. The California EITC is a refundable state income tax credit for low-income working individuals and families. The California EITC is treated in the same manner as the Federal EITC and generally will not be used to determine eligibility for welfare benefits under California law. To claim the California EITC, even if you do not owe California taxes, you must file a California income tax return and complete and attach the California EITC Form (FTB 3514). For information on the availability of the credit eligibility requirements and how to obtain the necessary California forms and get help filing, contact the Franchise Tax Board at 1-800-852-5711 or through its Web site at www.ftb.ca.gov.

For additional information, refer to the IRS EITC Web page at:

https://www.irs.gov/credits-deductions/individuals/earned-income-tax-credit

 or the California EITC Web page at:

https://www.ftb.ca.gov/individuals/faq/net/900.shtml 

If you have questions regarding this subject, please contact the IRS by phone at 800-829-3676 or through its Web site at www.irs.gov. You can also contact the Franchise Tax Board by phone at 800-852-5711 or through its Web site at www.ftb.ca.gov.

RFP CNS-02-26 PRODUCE DOCUMENT

RFP CNS-02-26 PRODUCE ITEM LIST

MEDICAL FORM TO REQUEST FOOD ACCOMMODATIONS

U.S. DEPARTMENT OF AGRICULTURE (USDA) NON-DISCRIMINATION STATEMENT

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, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

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 State or local Agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint 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, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

CONTACT:

Web | www.cde.ca.gov/ls/nu/  

Twitter | @CDENutrition

YouTube | www.youtube.com/user/cdenutrition

**FIELD TRIP BAG LUNCH REQUEST FORM BELOW**

BAG LUNCH REQUEST

RFP CNS 01-25 DISTRIBUTION OF PROCESSED USDA FOODS AND PRODUCTS

RFP CNS 01-25 DISTRIBUTION OF PROCESSED USDA FOODS AND PRODUCTS AWARD

RFP CNS 01-25 PROPOSAL WORKSHEET

RFP CNS 02-25 COMMERCIAL FOODS AND SUPPLIES

RFP CNS 02-25 COMMERCIAL FOODS AWARD

RFP CNS 02-25 FOOD SUPPLIES AWARD

RFP CNS 02-25 PROPOSAL WORKSHEET