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Meal Benefit Forms: English
List of items in the packet: - Instructions for Centers and Sponsors (pdf.) (doc.) - Letter to Households: Tier II Day Care Homes & Child Care Center (pdf.) (doc.) Adult Day Care (pdf.) (doc.)- Letter to Provider (Tier I or Provider's Own Children) (pdf.) (doc.) - Instructions for Completing Meal Benefit Form (pdf.) (doc.) - Meal Benefit Income Eligibility Form (pdf.) (doc.)- Sharing Information with Medicaid/SCHIP (pdf.) (doc.) - Notification of Selection for Verification of Eligibility (pdf.) (doc.) - Letter of Verification Results (pdf.) (doc.)
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