Federal Forms & Statements

  • For information regarding the Nondiscrimination Statement for the Child Nutrition Program, click here.

    Para obtener información sobre la Declaración de no discriminación para el Programa de nutrición infantil, haga clic aquí

USDA Program Discrimination Complaint Form

If you are having trouble viewing the document, you may download the document.
  • NOTICE TO BENEFICIARIES AND PROSPECTIVE BENEFICIARIES

    Name of Organization: Homewood City Schools 
    Name of Program: National School Lunch Program and School Breakfast Program
    Contact Information for Program Staff: Rachel Fowler - efowler@homewood.k12.al.us
    Because this program is supported in whole or in part by financial assistance from the

    Federal Government, we are required to let you know that:

    (1) We may not discriminate against you on the basis of religion, a religious belief, a refusal to hold a religious belief, or a refusal to attend or participate in a religious practice;

    (2) We may not require you to attend or participate in any explicitly religious activities (including activities that involve overt religious content such as worship, religious instruction, or proselytization) that are offered by our organization, and any participation by you in such activities must be purely voluntary;

    (3) We must separate in time or location any privately funded explicitly religious activities (including activities that involve overt religious content such as worship, religious instruction, or proselytization) from activities supported with direct Federal financial assistance; and

    (4) You may report violations of these protections, including any denials of services or benefits by an organization, by contacting or filing a written complaint with the Office of the Assistant Secretary for Civil Rights, Center for Civil Rights Enforcement, Program Complaint Division by mail, fax, or e-mail at:

    Mail:
    United States Department of Agriculture
    Director, Center for Civil Rights Enforcement
    1400 Independence Avenue, SW
    Washington, DC 20250-9410
    Fax: (202) 690-7442 Email: program.intake@usda.gov

    (5) If you would like to seek information about whether there are any other federally funded organizations that provide these kinds of services in your area, please contact the Alabama State Department of Education Child Nutrition Program.

    This written notice must be provided to you before you enroll in the program or receive services from the program, unless the nature of the service provided, or exigent circumstances make it impracticable to provide such notice before we provide the actual service. In such an instance, this notice must be provided to you at the earliest available opportunity.