Get Attachment 10 2015 Sfsp Income Eligibility ... - Nysed Portal

This guide provides clear and comprehensive instructions on how to fill out the Attachment 10 2015 SFSP Income Eligibility Form for the Summer Food Service Program online. Users can follow the steps outlined to ensure accurate completion and submission of the form.

Follow the steps to accurately fill out the form online:

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. In Part 1, enter the participant's name and include the SNAP (Food Stamp), TANF, or FDPIR case number if applicable. If you do not have a case number, skip to Part 4.
3. If filling out for a foster child, enter the child's name in Part 1 and contact the sponsor at the provided phone number. If applying for other children in the household without a case number, complete Part 3.
4. In Part 3, report total household gross income. List each participant’s name in Column A, and next to each name in Column B, indicate the gross income from various sources (work, welfare, Social Security, etc.) and the frequency of receipt (weekly, bi-weekly, monthly).
5. In Column C, check the box if any individual listed has no income. Ensure all applicable income sources are documented, and if necessary, use additional sheets for listing names.
6. Part 4 requires an adult member to sign the form. If Part 3 is completed, the last four digits of the Social Security Number must be provided, or indicate if there is no Social Security Number.
7. In Part 5, optionally mark the participant's ethnic and racial identities. Note that this section is for official use and does not affect eligibility.
8. After completing all sections, review the form for accuracy, then save changes, download, or print your filled form as needed.

Complete and submit your documentation online to ensure eligibility for the Summer Food Service Program.