
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.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- Fill in the legal name of the School Food Authority (SFA) in the designated field.
- Enter the agency code associated with the School Food Authority.
- Provide the complete address of the SFA, including street, city, state, and ZIP code.
- Input the first and last name of the authorized representative in the appropriate field.
- Enter the email address of the authorized representative.
- Provide the telephone number of the authorized representative, including area code.
- Fill in the name of the claim preparer, including their first and last names.
- Input the email address of the claim preparer.
- Provide the telephone number of the claim preparer, including area code.
- Indicate the type of School Food Authority by selecting from the provided options: public, private nonprofit, or residential child care institution.
- Enter the number of schools administered by the School Food Authority that serve grades PreK-5.
- Specify the effective date of the application-agreement.
- Review the agreement section to understand the responsibilities of both the Department and the School Food Authority.
- Sign and date the form in the designated signature area for the Board President or Clerk.
- Complete the Schedule A section by listing each participating school along with their addresses.
- 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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