Free/Reduced Forms

School Breakfast and Lunch Program 2018-2019 GUIDELINES

Income Eligibility and Verfication Guidelines from State

Revised Lunch Prices pdf


  1. Board policy 710.4 Meal Charges with the following changes. To remind students/families when there is $10.00 remaining in their nutrition fund and to allow students/families to be $25.00 negative before offering an alternative meal. Motion carried unanimously. June 12, 2017 School Board Minutes.

Breakfast and Lunch Prices 2019-2020

Breakfast Prices PK-5 $1.60   6-12 $1.70 - Adult/second breakfast price $2.40

Lunch Prices:    PK-5  -  $2.35,  6-8  -  $2.45    9-12  -  $2.55 .  Adult/second lunch price $3.75


Semester Milk 2019-2020

Semester Milk Prices for PK-Elementary are 

3 and 4 Year Old PS - $35 per Semester per student
K-4th - $40 per Semester per student

Link to apply for SNAP Program = Supplemental Nutrition Assistance Program
If you qualify for Free Lunches your whole family could qualify for SNAP  

Breakfast and Lunch are served daily at each center.  Breakfast includes for the price - Entree', milk, oj and fruit cup
Info on purchasing a reimbursable meal is below, ONLY a reimbursable meal is FREE or REDUCED price.
If only one item is taken it is NOT Free or Reduce.

A few examples for a reimbursable breakfast meal:

One pancake sausage stick, milk, Fruit Cup = two grains, one milk, one fruit 

One pancake sausage stick, and a piece of fresh fruit = two grains, one fruit 

One pancake sausage stick and an OJ = two grains, one fruit

If you have any questions please ask us.  Thanks

Grain = 1 0z.

Fruit = 1 Cup

Milk = 1 Cup

    You Must take 3 of the 4 items offered to be a REIMBURSABLE Breakfast and a 1 Cup Fruit Choice Must be one of them.


A few examples for a reimbursable lunch meal:

Five items are offered, students must take at least three with
Minimum of a 1/2 Cup of Fruit or 1/2 Cup of Veggie being one of them.

If you have any questions please ask us.  Thanks

Grain = 1 0z.

Fruit or Veggi = 1 Cup

Milk = 1 Cup

    You Must take 3 of the 5 items offered to be a REIMBURSABLE LUNCH and fruit or veggie must be on the plate.

 All Food items purchased individually will be charged as the price per piece even if you qualify for  FREE or REDUCED.                                   You will only get your meal at the free or reduced price if you purchase the WHOLE Breakfast or WHOLE Lunch.

Individual Ala Carte Breakfast Item Prices 2018 - 2019

Milk .50

Main Breakfast Entree .80

Main Lunch Entree $1.60

Fruit .60

Veggie .60

OJ .60

Bread/Bun/Toast .40

Yogurt .80

Snack Item including water .75

Elem./MS & HS

Breakfast and lunch are served every day at BOTH Centers. Students may deposit any amount of money in their

lunch account at any time. Students will be warned when their account is at the $5.00 mark that they are in need of lunch money.

All students are only allowed to be $5.00 delinquent in their account. After that they will NOT be allowed

to purchase any meal or extras until a deposit is made into their account.

If a student does not have lunch money and is at the negative $5.00 mark and has not brought a sack

lunch, then they will be charged for a bread & butter sandwich. If a student brings cold lunch from home

and would like to drink milk with it, they may purchase a carton and have $.50 deducted from their meal

account. Money to be deposited in accounts should be brought to the office window upon arrival in the morning.


USDA Nondiscrimination Statement and Discrimination Complaint Form

  1. “In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TTY). USDA is an equal opportunity provider and employer.”

    USDA permits the use of a shorter notice:
    “This institution is an equal opportunity provider.” 

  1. “It is the policy of South Winneshiek CSD not to discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, national origin, disability, or religion in its programs, activities, or employment practices as required by the Iowa Code section 216.7. If you have questions or grievances related to compliance with this policy by (Name of CNP Provider), please contact the Iowa Civil Rights Commission, Grimes State Office Building, 400 E. 14th St., Des Moines, IA 50319-1004; phone number 515-281-4121, 800-457-4416; web site:”

    If the CNP participates in NSLP or SBP, the Iowa Code section 216.9 must also be referenced. 

§245.5   Public announcement of the eligibility criteria.