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California Department of Education Nutrition Services Division School Nutrition Programs Unit June 2012 PARENTAL REQUEST FOR A FLUID MILK SUBSTITUTION FOR SCHOOL-AGE CHILDREN 1. Name of School Food
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How to fill out milk substitution form

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How to fill out a milk substitution form:

01
Start by obtaining the milk substitution form from the appropriate authority, such as your child's school or daycare center.
02
Carefully read through the form to understand the required information and any supporting documentation that may be needed.
03
Begin by filling out the personal details section, which typically includes the child's name, date of birth, and contact information.
04
Indicate the reason for requesting milk substitution. This could be due to a known allergy, lactose intolerance, or any other medical or dietary requirement.
05
Provide any necessary medical documentation or notes from a healthcare professional to support your milk substitution request. This may include a doctor's letter or allergy test results.
06
Specify the type of milk that should be substituted. This could be a dairy-free alternative like soy milk, almond milk, or rice milk.
07
Include any additional information or special instructions that may be relevant, such as the child's preferences or specific brands of milk to be substituted.
08
Double-check all the information you have filled out to ensure accuracy and completeness.
09
Sign and date the milk substitution form to certify that the information provided is true and accurate.
10
Submit the completed milk substitution form to the appropriate authority according to their designated instructions or procedures.

Who needs a milk substitution form?

01
Children with diagnosed allergies: A milk substitution form is typically required for children who have been diagnosed with an allergy to cow's milk or any other dairy product. This form allows schools, daycare centers, or other institutions to ensure the child's safety and provide an appropriate milk alternative.
02
Children with lactose intolerance: Lactose intolerance is another common condition that may require the use of a milk substitution form. This form helps establish the need for a dairy-free alternative to accommodate the child's dietary needs.
03
Children with special dietary requirements: Some children may have specific dietary requirements due to religious, cultural, or personal beliefs. In such cases, a milk substitution form may be necessary to request an alternative to cow's milk.
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The milk substitution form is a form that allows individuals to request a substitution for milk in school meals for medical or dietary reasons.
Parents or guardians of children who require a milk substitution in school meals are required to file the milk substitution form.
The milk substitution form can be filled out by providing information about the child's medical or dietary need for a milk substitution, along with any supporting documentation.
The purpose of the milk substitution form is to ensure that children with medical or dietary needs are provided with appropriate alternatives to milk in school meals.
The milk substitution form must include the child's name, medical or dietary need for a milk substitution, and any supporting documentation from a healthcare provider.
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