FOOD SERVICE MANAGEMENT
(Nondiscrimination in School Nutrition Programs)
All information materials and sources, including websites, used by the district to inform the public
about the district's food service program will contain the following information:
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 (including the district), 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 the 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 the 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 (AD-3027) found online at https://www.ascr.usda.gov/complaint_filing_cust.html
and at any USDA office, or write a letter addressed to the USDA and provide in the letter all the
information requested in the form. To request a copy of the complaint form, call 866-632-9992.
Submit your completed form or letter to the USDA by:
1. Mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, DC 20250-9410;
2. Fax: 202-690-7442; or
3. E-mail: email@example.com.
This institution is an equal opportunity provider.
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Note: The reader is encouraged to review policies and/or procedures for related information in
this administrative area.
© 2019, Missouri School Boards' Association, Registered in U.S. Copyright Office
For Office Use Only: EF-AF1.1A (6/19) Page 3
FILE: EF-AF1 REFERENCE COPY