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Michigan Department of Education Office of Health and Nutrition Services School Nutrition ProgramsDirect Certification Medicaid Reduced Price Eligibility Notification Letter Local Educational Agencies.

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How to fill out the Sample Eligibility Notification Letter online

Filling out the Sample Eligibility Notification Letter is a critical task for local educational agencies (LEAs) to inform households about their eligibility for reduced-price meals based on Direct Certification with Medicaid. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the Sample Eligibility Notification Letter effectively.

  1. Click ‘Get Form’ button to access the form and launch it in the online editor.
  2. Begin by entering the date at the top of the letter. This should reflect the date when the notification is being sent.
  3. Address the letter properly by including 'Dear Parent or Guardian:' to ensure a respectful and formal approach.
  4. List the names of the student(s) approved for reduced-price benefits, along with their respective grades and schools. This information should be accurate and clear.
  5. Indicate the approval status for reduced-price lunch and breakfast options, clearly marking them to avoid any confusion.
  6. Include a statement that no further application is necessary for the households receiving reduced-price meals. This reassures users about the process.
  7. Attach a brief note advising households that they can complete the Free and Reduced-Price Meals Application based on household size and income for potential eligibility for free meals.
  8. Integrate the attached Free and Reduced-Price Meals Application and Income Eligibility Guidelines to provide comprehensive information.
  9. Include instructions for households to notify the school officials in writing if they do not wish to receive reduced-price benefits.
  10. Insert the full non-discrimination statement clearly, ensuring compliance with federal regulations.
  11. Finally, provide the space for the Parent or Guardian's signature, date, and contact name, phone, and email for additional inquiries.
  12. Once all sections are filled out, save changes to the document, and download, print, or share the form as needed.

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