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Table of Contents

Sponsor's Responsibility for Meal Modifications1
Statutory and Regulatory Requirements1
Non-Disability Situations4
Reimbursement and Availability of Food Substitutions5
Accessibility for Disabled Participants5
Menu Documentation6
Procedural Safeguards and Training6
USDA Guidance7
Questions & Answers7
Title File
Form 19-A Letter to Parent/Guardian Explaining Requirements for School Meal Modification Requests Document Document
Form 19-A Letter to Parent/Guardian Explaining Requirements for School Meal Modification Requests - Spanish Document Document
Form 19-B Medical Statement to Request Meal Modification Document
Form 19-B Medical Statement to Request Meal Modification - Spanish Document

Guidance and Resources

Title File
Fluid Milk Substitution Criteria in Child Nutrition Programs Document


To keep up to date, regularly check the USDA Child Nutrition Programs' Web site for recently posted regulations, policy clarifications, prototype application materials, and other information. Most recent changes within each chapter are highlighted in yellow.  New guidance is also posted at SNP What's New or in Monthly Updates.