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English Forms

  • Meal Account Refund/Transfer Request Form
  • Pre-Payment Envelope Template
  • Civil Rights Complaint Form
  • Medical Statement Form to Request Special Diet 
  • MySchoolBucks
  • Meal Charge Policy
  • Earned Income Tax Credit Information Act Communication

 

Spanish Forms

  • Reembolso/Transferencia de Fondos de la Cuenta de Alimentos
  • Sobre de Pre-Pago Plantilla
  • Formularios de Quejas de Derechos Civiles
  • FSD Formulario de Comidas Especiales o Adaptaciones
  • MySchoolBucks
  • Politica de Cargos de Alimentos
  • Ley de Informacion de Comunicacion de Credito Tributario por Ingresos del Trabajo

 

Korean Forms

  • Meal Account Refund/Transfer Request Form
  • Pre-Payment Envelope Template
  • Civil Rights Complaint Form
  • FSD Medical Statement Form - Korean
  • MySchoolBucks
  • Meal Charge Policy
  • Earned Income Tax Credit Information Act Communication
 
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And Justice for All

Non-Discrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:  http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1)   mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

(2)   fax: (202) 690-7442; or

(3)  email: program.intake@usda.gov.



This institution is an equal opportunity provider.

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389 W. Truslow Avenue
Fullerton, Ca 92832

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1401 W. Valencia Dr.
Fullerton, CA 92833
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USDA Legal Text

And Justice for All

Non-Discrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:  http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1)   mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

(2)   fax: (202) 690-7442; or

(3)  email: program.intake@usda.gov.



This institution is an equal opportunity provider.

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