PARENTS & STUDENTS
REPORT FORMS
Powered Donuts or Cereal and Fruit
Chicken Patty on Bun or Cheeseburger French Fries and Pear Cup
Scrambled Eggs, Sausage and Toast or Cereal and Fruit
Corn Dog on a Stick or Ham Wrap Green Beans and Mixed Fruit
Biscuits and Gravy or Cereal and Fruit
BBQ Riblet or Pepperoni Pizza Carrots and Peach Cup
Mini Cinnis or Cereal and Fruit
Ham Deli or Macho Nacho Cowboy Caviar and Strawberries
French Toast with Syrup or Cereal and Fruit
Rotini Pasta with Meat Sauce or Stuffed Crust Pizza Pasta House Salad and Fruit Slushies
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, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior credible activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
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 responsible Agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or 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 discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint 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.
USDA is an equal opportunity provider, employer, and lender.