Get Application For An Extension On Special Assistance

Filling out the Application For An Extension On Special Assistance is a key step for those seeking to continue their eligibility in the Special Assistance Program. This guide will provide you with clear and concise instructions to complete the application accurately and efficiently online.

Follow the steps to complete your application with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the sponsor name in the designated field. This will be the official name of the organization applying for the extension.
3. In the next field, input the CTD# (Child Nutrition Program numbers) associated with your application.
4. Fill in the contact person's name and title, along with a phone number for follow-up communications.
5. Indicate the Special Assistance Provision (2 or 3) currently being operated in the relevant section.
6. Next, specify the number of special assistance sites operated. Ensure to attach a list of these sites on official School District Letterhead, including the name of each school, the base year, and whether they serve breakfast, lunch, or both.
7. Provide the approved socioeconomic data that will be submitted to the Arizona Department of Education. Include information from the base year and the last non-base year, ensuring that all data is submitted by March 1st of the last non-base year.
8. You must certify that all information provided is true. Print the name of the authorized signatory, provide a signature, and include the date.
9. Once all fields have been completed, review the document for accuracy. After confirming all information is correct, save your changes, and you can choose to download, print, or share the form for submission.

Complete your application online today and ensure all necessary steps are followed for a smooth submission.