Special Milk Program

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MyNHDOE

• Program Authorization Form

  • The Program Authorization Form is for Child Nutrition Programs ONLY. After completion of this form, if ANY information changes during the school year, a new form needs to be filled out and submitted to Maddie Parker, madeline.r.parker@doe.nh.gov, and Patty Carignan, patricia.j.carignan@doe.nh.gov. It is the responsibility of the program operator to ensure that the permissions are up to date.

Special Milk Program Fact Sheet

Special Milk Program (SMP) Application Materials

• Below only required if operating the pricing program with Free Milk option
  • Parent Letter  - SY24-25
  • Family Application Instructions (for SAU/RA use only, do not attach to application)
  • Family Application - SY24-25 (for SAU/RA use only, do not attach to application)
  • Policy Statement for Free and Reduced Price Meals, Afterschool Snack Programs and/or Free Milk

• Application Attachments
  • Program Authorization Form
  • Permanent Agreement

Milk Count Forms

• Collecting Milk Count by Student Name (Non-pricing with free milk option and pricing with free milk option)
  • Daily Milk Count Form
• Collecting Milk Counts by Total Head Count (Non-pricing with no free milk and pricing with no free milk)
  • Milk Count Sheet

• Additional Documentation - does not need to be attached to application
  • Income Eligibility Guidelines - SY24-25
  • Income Eligibility Guidelines - SY23-24
  • Rates for Reimbursement - SY23-24

USDA Claims Calendar (State Agency requires all claims to be submitted by the 10th of the following claim month)

• Filing your Monthly Claim

Civil Rights

Alternative Services Available

• Limited English Proficiency (LEP)
  The contact for interpretive services is the NH Commission for Human Rights. Their contact information is: 603-271-2767, press #0 to request a language interpreter, or email the Commission at humanrights@nh.gov and make an appointment for language interpretation.
  • NHED - ESOL K-12 English for Speakers of Other Languages
    Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish)
  • USDA LEP Information
  • USDA Eligibility Manual for School Meals
• NHED Special Education
  • Complaints and Due Process Hearings
  • Forms, Guidance, Documents, Handbooks, and Reports
  • Procedural Safeguards
    NH Procedural Safeguards Handbook, based on the Individuals with Disabilities Education Act of 2004 and the New Hampshire Standards for the Education of Children with Disabilities adopted March 23, 2017.

USDA Memos

USDA Nondiscrimination Statement / Food & Nutrition Services

This Institution is an Equal Opportunity Provider.

Esta institución es un proveedor que ofrece igualdad de oportunidades. 

Contact:

Amanda Marshall, Administrator
amanda.a.marshall@doe.nh.gov
603-271-3860