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Household Benefit Income Eligibility Form

For the 2023 – 2024 school year, all children in the White Plains City School District will receive breakfast and lunch meals at no charge regardless of household income or completion of the Household Benefit Income Eligibility form. However, families are encouraged to complete the Household Benefit Income Eligibility Form.  This form is used to determine eligibility for additional State and Federal program benefits that your child(ren) may qualify for such as college preparation programs, free instruments rental, AP test fee waiver, etc. Please click the link below to download the form, read the instructions on the back, complete only ONE form for your household, sign your name and return it to your school main office, or mail it to the Food & Nutrition Office at 550 North Street White plains, NY 10605 or email to . If you need help, please call 914 422-2054. Please noteSocial Security number is not required.

To complete the application online please  visit