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California Department of Education Nutrition Services Division Child and Adult Care Food Program DCC 06 (REV. 12/2015) PAGE 1 of 5 MEAL BENEFIT FORM FOR PROVIDERS Complete, sign, and return this form
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What is meal benefit form for?
The meal benefit form is used to determine eligibility for free or reduced-price meals for students.
Who is required to file meal benefit form for?
Parents or guardians of students who wish to apply for free or reduced-price meals are required to file the meal benefit form.
How to fill out meal benefit form for?
To fill out the meal benefit form, parents or guardians must provide information about household income and family size.
What is the purpose of meal benefit form for?
The purpose of the meal benefit form is to ensure that students from low-income households have access to nutritious meals at school.
What information must be reported on meal benefit form for?
Information such as household income, family size, and any government assistance received must be reported on the meal benefit form.
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