Documents/Forms

Verification Forms for School Year 2024-25

Verification Results   |   Verify Eligibility  |   Employer
Social Security  |   Continuation of Benefits  

The current year's forms are dated August 2024.

• Letter of Verification Results and Adverse Action for Income Households
  • Public Schools Only
    • English: Letter of Verification Results and Adverse Action for Income Households 
    • Spanish: Ejemplo de carta de resultados de verificación y medida adversa para grupos familiares con ingresos
  • Private Schools Only
    • English: Letter of Verification Results and Adverse Action for Income Households
    • Spanish: Ejemplo de carta de resultados de verificación y medida adversa para grupos familiares con ingresos
• Household Letter to Verify Eligibility
  • English: Household Letter to Verify Eligibility (English)
  • Spanish: Household Letter to Verify Eligibility: Ejemplo de carta para el grupo familiar a fin de verificar la elegibilidad de la familia 
• Household Letter to Verify Eligibility: Second Notice
  • English: Household Letter: Second Notification to Verify Eligibility
  • Spanish: Household Letter: Second Notification to Verify Eligibility: Ejemplo de carta para el hogar de segundo aviso para verificar la elegibilidad familiar
• Household Employer Letter
  • English: Household Employer Letter
  • Spanish: Household Employer Letter: Ejemplo de carta de empleador de grupo familiar
• Household Letter for Social Security Office
  • English: Household Letter for Social Security Office
  • Spanish: Household Letter for Social Security Office: Ejemplo de carta para grupo familiar de la Oficina del Seguro Social 
• Optional Household Letter: Notification of Continuation of Benefits as a Result of Verification 
  • English: Optional Household Letter: Notification of Continuation of Benefits as a Result of Verification
  • Spanish: Optional Household Letter: Notification of Continuation of Benefits as a Result of Verification: Ejemplo de carta opcional para el grupo familiar: Notificación de continuación de beneficios como consecuencia de la verificación 
• Verification Selection Worksheet

Verification Collection Report
This report is completed in the Connecticut Online Application and Claiming System for Child Nutrition Programs (CNP System)

• Completing the Verification Collection Report (CSDE)

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.