Claim Override Request For School Meal Programs

Sponsor or LEA Name*

Start typing the name of the LEA or Sponsor or select the name from the list

Select

Claim Date*

Enter the last date of the claim month (e.g. 09/30/2023)

Submitter Name*

Submitter Phone*

Phone

Submitter Email*

Additional Contacts

Optional: List additional contact email addresses to receive notifications. For more than one contact, separate the email addresses with a comma (,)

Claim Override Request Form*

Attach the completed and signed Claim Override Request Form

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Send me a copy of my responses