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Discontinuation of School Meal Modifications (Form 19-C) To discontinue meal modifications for disability or food allergy/intolerances complete the section below. Prescribed by a Medical Authority

How to fill out discontinuation of school meal

To fill out the discontinuation of school meal, follow these steps:

1. Obtain the discontinuation form: Contact your school administration or the department responsible for school meals to request the discontinuation form. This form is usually available online or in paper format.
2. Fill in personal details: Begin by filling in your personal information on the form. This may include your full name, address, contact information, and student identification number.
3. Indicate the reason: State the reason for discontinuing school meals. Whether it is due to changes in personal circumstances, dietary requirements, or any other valid reason, make sure to provide a clear explanation.
4. Select the effective date: Choose the date from which you want the discontinuation to take effect. Be sure to consider any notice period required by the school or the meal provider.
5. Sign and date the form: After filling in all the necessary information, sign and date the form. This signature confirms that the discontinuation request is made by you, the authorized parent or guardian.
6. Submit the form: Once completed, submit the discontinuation form to the appropriate department. You can hand-deliver it to the school office or send it through email, as instructed by the school administration.

Who needs discontinuation of school meal?

Parents or guardians who wish to discontinue their child's enrollment in the school meal program will need the discontinuation of school meal form. This form allows them to officially request the removal of their child's participation from the program and ensure appropriate adjustments are made to the meal service.

By using the discontinuation of school meal form, parents or guardians can communicate their decision to the school administration in a clear and organized manner, ensuring a proper record is maintained. It also helps school authorities in managing their meal program efficiently by updating the student's meal status accurately.

For pdfFiller’s FAQs

What is discontinuation of school meal?

Discontinuation of school meal is the process of stopping a student's participation in the school meal program.

Who is required to file discontinuation of school meal?

Parents or guardians of the student are required to file discontinuation of school meal.

How to fill out discontinuation of school meal?

Discontinuation of school meal can be filled out by contacting the school administration or the school meal program coordinator.

What is the purpose of discontinuation of school meal?

The purpose of discontinuation of school meal is to inform the school authorities about the student's decision to no longer participate in the school meal program.

What information must be reported on discontinuation of school meal?

The discontinuation of school meal form must include the student's name, student ID number, reason for discontinuation, and parent/guardian signature.

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