Meal Benefit Income Eligibility Form
Each file contains:
- Letter to Households: Child Day Care and Tier II Providers and Adult Day Care
- Letter to Tier I and Family Day Care Home Providers
- Meal Benefit Income Eligibility Form: Child Day Care and Adult Day Care (with Instructions)
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| Chinese Simplified - PDF, Word | Khmer - PDF, Word | Spanish - PDF, Word |
| Chinese Traditional - PDF, Word | Korean - PDF, Word | Sudanese - PDF, Word |
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| English - PDF, Word | Mien - PDF, Word | Tigrinya - PDF, Word |
| Farsi - PDF, Word | Polish - PDF, Word | Ukrainian - PDF, Word |
| French - PDF, Word | Portuguese - PDF, Word | Urdu - PDF, Word |
| Greek - PDF, Word | Punjabi - PDF, Word | Vietnamese - PDF, Word |
| Gujarati - PDF, Word | Russian - PDF, Word | |
| Hindi - PDF, Word | Samoan - PDF, Word |