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Florida Department of Agriculture and Consumer Services Division of Food, Nutrition and Wellness SPECIAL MILK PROGRAM CLAIM FORM ADAM H. PUTNAM COMMISSIONER Sections 595.404, Florida Statutes; 7 CFR

How to fill out special milk program claim

How to fill out special milk program claim:

1. Obtain the special milk program claim form from the appropriate agency or organization that administers the program.
2. Fill in the required personal information, such as your name, address, and contact details.
3. Provide information about the eligible participant for whom you are claiming the special milk program benefits, including their name, date of birth, and any relevant identification numbers.
4. Indicate the type of milk being claimed for the participant, such as whole milk, 2% milk, or lactose-free milk.
5. Specify the quantity of milk being claimed, which is typically measured in half-pint, pint, or quart units.
6. If applicable, include any additional details or special circumstances related to the participant's milk needs, such as a medical condition or dietary restriction.
7. Review the completed form for accuracy and completeness, making sure all required fields are filled in correctly.
8. Sign and date the form, confirming that the information provided is true and accurate to the best of your knowledge.
9. Submit the filled-out claim form to the designated agency or organization as instructed, either by mailing it to the specified address or submitting it in person.
10. Keep a copy of the completed form for your records.

Who needs a special milk program claim:

1. Low-income families or individuals who meet the eligibility criteria for the special milk program.
2. Participants who require the nutritional benefits of milk due to a specific medical condition or dietary requirement.
3. Children and students who are enrolled in qualifying childcare facilities, schools, or educational programs that participate in the special milk program.
4. Pregnant or breastfeeding women who meet the program's eligibility criteria.
5. Individuals or families who are receiving other forms of public assistance or benefits and are eligible for the special milk program.
6. Organizations or institutions that provide meals or snacks to eligible participants and wish to claim the benefits of the special milk program for their program participants.
7. Any individual or household meeting the requirements set forth by the administering agency or organization for participation in the special milk program.

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What is special milk program claim?

Special milk program claim is a form used by schools and institutions participating in the Special Milk Program to claim reimbursement for milk served to children.

Who is required to file special milk program claim?

Schools and institutions participating in the Special Milk Program are required to file special milk program claim.

How to fill out special milk program claim?

Special milk program claim can be filled out by providing information about the number of half-pints of milk served, the price charged to students, and any applicable free or reduced-price milk served.

What is the purpose of special milk program claim?

The purpose of special milk program claim is to ensure that schools and institutions participating in the Special Milk Program receive reimbursement for milk served to children.

What information must be reported on special milk program claim?

Information such as the number of half-pints of milk served, the price charged to students, and any applicable free or reduced-price milk served must be reported on special milk program claim.