Documents/Forms
Verification Forms
- Letter of Verification Results and Adverse Action for Income Households (English) September 2021
- Letter of Verification Results and Adverse Action for Income Households (Spanish) September 2021
- Household Letter to Verify Eligibility (English) September 2021
- Household Letter to Verify Eligibility (Spanish) September 2021
- Household Letter: Second Notification to Verify Eligibility (English) September 2021
- Household Letter: Second Notification to Verify Eligibility (Spanish) September 2021
- Household Employer Letter (English) August 2021
- Household Employer Letter (Spanish) August 2021
- Household Letter for Social Security Office (English) August 2021
- Household Letter for Social Security Office (Spanish) August 2021
- Optional Household Letter: Notification of Continuation of Benefits as a Result of Verification (English) August 2021
- Optional Household Letter: Notification of Continuation of Benefits as a Result of Verification (Spanish) August 2021
- Verification Selection Worksheet
- Verification Collection Report
This report is completed in the Online Application and Claiming System for Connecticut Child Nutrition Programs
Foreign Language Forms
USDA Foreign Language Free and Reduced-price Application and Verification forms
After selecting the desired language and document type (Word or PDF), the verification forms are located at the end of the document.