Documents/Forms

Note: The forms below were updated in June 2022. Forms that cannot be accessed are in the process of being updated for school year 2022-23 and will be posted soon.

Family Application  

• Application for Free Milk
  • English: 2022-23 Application for Free Milk 
  • Spanish: Solicitud para leche gratuita 2022-23
• Sample Parent/Guardian Letter: Frequently Asked Questions About Free School Milk
  • English: Sample Parent/Guardian Letter: Frequently Asked Questions About Free School Milk 
  • Spanish: Preguntas frecuentes acerca de leche gratuita escuelar
• Parent/Guardian Notification Letter for Approval/Denial of Free Milk
  • English: SMP Parent/Guardian Notification Letter for Free Milk Eligibility
  • Spanish: Carta de Notificación para el padre/tutor
• Parent/Guardian Notification Letter for Direct Certification
  • Version 1: SNAP, TFA, Medicaid
    
    • English: SMP Parent/Guardian Notification Letter Version 1: Eligibility Established through Direct Certification Based on School Nutrition Assistance Program (SNAP), Temporary Family Assistance (TFA) or Medicaid Benefits
    • Spanish: SMP Parent/Guardian Notification Letter Version 1: Eligibility Established through Direct Certification Based on School Nutrition Assistance Program (SNAP), Temporary Family Assistance (TFA) or Medicaid Benefits
      Elegibilidad establecida por medio de certificación directa en función del Programa de Responsabilidad Nutricional Escolar (SNAP, Supplemental Nutrition Assistance Program) o de los beneficios de Asistencia Temporal Familiar (TFA, Temporary Familiy Assistance) o Medicaid
  • Version 2: Foster Child, Homeless, Runaway, Head Start
    • English: SMP Parent/Guardian Notification Letter Version 2: Eligibility Established through Direct Certification Based on Foster Child, Homeless, Runaway, or Head Start Program Status
    • Spanish: SMP Parent/Guardian Notification Letter Version 2: Eligibility Established through Direct Certification Based on Foster Child, Homeless, Runaway, or Head Start Program Status
      Elegibilidad establecida por medio de certificación directa en función de estado de niño en acogimiento familiar, sin hogar, fugado o del Programa Head Start

Policy Statement

• Policy Statement for Free and Reduced-price Meals, Afterschool Snack Programs, and Free Milk  Coming soon
  Required for the local educational agency’s (LEA) Policy Statement for Free Milk
  • Application and Data Management Process for Connecticut Special Milk Programs  
  • Site Information on Money Collection and Point-of-service (POS) Milk Count Systems for Connecticut Special Milk Programs  

Public Media Release

• Sample Public Media Release for Connecticut Special Milk Programs   

SMP Online Application

• Application Checklist: SMP Required Items for the Online Sponsor Application “Checklist Summary” in the CSDE's Agreement for Child Nutrition Programs  
• Instructions: Updating the Sponsor Agreement for Summer Sponsors of the Special Milk Program: Summer 2022  
  

Milk Count Forms

• SMP Daily Milk Count Form (Excel)
  
  • Instructions for SMP Daily Milk Count Form
  • Sample Completed SMP Daily Milk Count Form
• SMP Daily Milk Count Form (PDF)