Wisconsin Department of Public Instruction APPLICATIONAGREEMENTPOLICY STATEMENT WISCONSIN SCHOOL DAY MILK PROGRAM s. 115.343, Wis. Stats. PI1464 (Rev. 0821 INSTRUCTIONS: Complete and submit to: WISCONSIN.

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How to fill out the WI PI-1464 online

This guide provides a comprehensive overview of how to complete the WI PI-1464 form online. By following these steps, users can ensure they fill out all required sections accurately and submit their application efficiently.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Fill in the legal name of the School Food Authority (SFA) in the designated field.
  3. Enter the agency code associated with the School Food Authority.
  4. Provide the complete address of the SFA, including street, city, state, and ZIP code.
  5. Input the first and last name of the authorized representative in the appropriate field.
  6. Enter the email address of the authorized representative.
  7. Provide the telephone number of the authorized representative, including area code.
  8. Fill in the name of the claim preparer, including their first and last names.
  9. Input the email address of the claim preparer.
  10. Provide the telephone number of the claim preparer, including area code.
  11. Indicate the type of School Food Authority by selecting from the provided options: public, private nonprofit, or residential child care institution.
  12. Enter the number of schools administered by the School Food Authority that serve grades PreK-5.
  13. Specify the effective date of the application-agreement.
  14. Review the agreement section to understand the responsibilities of both the Department and the School Food Authority.
  15. Sign and date the form in the designated signature area for the Board President or Clerk.
  16. Complete the Schedule A section by listing each participating school along with their addresses.
  17. Once all fields are completed, save your changes, download, print, or share the form as needed.

Start completing the WI PI-1464 online to ensure your application is submitted correctly.

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