Returning Sponsors Application
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Child Nutrition

Simplified Summer Food Program (SFSF)
Also known as Summer Food Service Program

Returning Sponsors - Memorandum 021-13 (Word)

The following attachments are information and forms that you will need to complete your application:

Attachments
1

Returning Sponsor Instructions for Completing the SSFP Agreement and Application (Word)

2

FORM SPI 1145CKLST Rtn
Simplified Summer Food Program Checklist for Returning Sponsors
(PDF)

3

FORM SPI 1145AGREE
Simplified Summer Food Program Agreement Between Sponsor and OSPI
(PDF)

4

FORM SPI 1145 Summer Commodities
Food Distribution Program Application
(PDF)

5

FORM SPI CNS 1145 Summer Food
Procurement Standards
(PDF)

6

FORM SPI 1145 AMEND
15-Point Amendment to Food Service Agreement
(PDF)

7

School Districts Currently Contracting with a Food Service Management Company (Word)

8

FORM SPI CNS 280 LOB
Certification Regarding Lobbying Child Nutrition Programs
(PDF)

9

FORM SPI CNS 280F-EXH-VII
Disclosure of Lobbying Activities
(PDF)

10

Statewide Payee Registration Washington State W-9 (PDF)

11

FORM SPI 1532A CNP User Auth
User Authorization for Child Nutrition Programs
(Word)

12

FORM SPI 1145F
Field Trip Notification
(PDF)

13

Exhibit 1 (SFSP-1)
Free Meal Policy Statement for the Simplified Summer Food Program for Children (Open Sites Only)
(PDF)

14

Exhibit 1a (SFSP-2)
Free Meal Policy Statement (Closed Enrolled Sites and Camps Only)
(PDF)

15

Exhibit 2 (SFSP-3)
Letter to Parents Summer Feeding Programs (Closed Enrolled Sites and Camps Only)
(PDF)

16

Exhibit 3 (Form SPI 1145-B)
Confidential Income Statement Household Application for Free and Reduced-Price Meals
(PDF)

17

Income Guidelines (Word)

18

General Guidance for Determining Eligibility of Confidential Income Statements (Word)

19

Sample Media Releases for Open Sites and Closed Enrolled Sites (Word)

20

Prototype Health Inspector Letter (Word)

21

Field Trip Fax Notification (Word)

22

Sample Agreement Disclosure of Free and Reduced-Price Information Agreement (Word)

Summer Food Programs

Jennifer Mitchell
Summer Food and Special Projects Supervisor
(360) 725-6056

Amber Horan
Administrative Assistant
(360) 725-6202

Colleen McGuire
Claims
(360) 725-6211

Free Summer Food Contact Number:
1-866-EAT-MEAL (1-866-328-6325)
TTY number (360) 664-3631

 

Old Capitol Building, PO Box 47200, 600 Washington St. S.E., Olympia, WA  98504-7200  (360) 725-6000  TTY (360) 664-3631
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