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California Department of Education Nutrition Services DivisionChild and Adult Care Food Program DCC 06 (REV. 4/2017) PAGE 1 of 5MEAL BENEFIT FORM FOR PROVIDERS Complete, sign, and return this form
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01
Gather necessary documents such as proof of income, household size, and other required information.
02
Fill out the form with accurate and up-to-date information.
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Submit the form to the appropriate office or online portal as instructed.
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Who needs meal benefit form for?

01
Individuals or families who meet certain income criteria and require financial assistance in order to receive meal benefits may need to fill out a meal benefit form.
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The meal benefit form is used to determine eligibility for free or reduced-price meals in educational settings.
Parents or guardians of students who wish to apply for free or reduced-price meal benefits are required to file the meal benefit form.
To fill out the meal benefit form, you need to provide information about your household size, income, and other relevant details as requested on the form.
The purpose of the meal benefit form is to assess a family's income and household size in order to determine eligibility for meal assistance programs.
The information that must be reported includes household members, total income, the type of income, and any applicable benefits received.
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