Income Application & Sharing Information Forms

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Alternate Household Income Form

Materials and Supply (4K-5), Textbook and Materials (6-12), Instrument Rental, Class fees, Extended Learning fees, AP, IB, PSAT, and ACT Testing Fees (HS only) can only be waived for families who have completed the Alternate Household Income form and Sharing Information with Other Programs form, and are determined to be eligible.  If you have been notified that your children automatically qualify for free or reduced meals or submitted a paper application already, please do not submit an online application. 

This form must be completed annually from July 1 to June 30, and only one application should be filled out for each household.  You may now submit your Alternate Household Income Form  2021-2022 electronically.   The Spanish version can be found here 2021-2022 Formulario de ingresos alternativos del hogar.  

 

 

You may also complete the Sharing Information with Other Programs form electronically for the current and/or previous school years using the links listed below.

 

Paper forms may be picked up at the Administrative Service Campus or you may print a copy of the application using the links below.

 

Previous Year - Sharing Information with Other Program forms - Printable

Completed paper applications can be turned in to the main office of your child’s school or delivered to the Food Service office at the Administrative Service Center.  

Mail completed applications to: 

Racine Unified School District
Attn: Finance/Food Service
3109 Mount Pleasant Street 
Racine, WI 53404 

Once your application has been processed, you will be notified of the result via mail.

USDA Nondiscrimination 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.

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