Helpful Forms
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Request for Dietary Accommodations Form
All students who need changes to their meals, such as in the case with life-threatening food allergies, will be required to provide physician’s documentation by submitting a complete and signed “Request for Dietary Accommodations” form, found below. Please note that all fields on the form must be complete; The FBISD Child Nutrition Department shall not accept incomplete forms. Turn in the form directly to the Child Nutrition Department at by fax (281-634-1862 attn: Dietitian) OR by email (DLCNDSpecialDiet@fortbendisd.gov).
FBISD CND Request for Dietary Accommodations Form 7.23.18.pdf 316.76 KB (Last Modified on August 9, 2018) -
Dietary Accommodations Discontinuation Form
This form is used when a parent or guardian needs to discontinue a Request for Dietary Accommodation. All fields on the form need to be completed. The FBISD Child Nutrition Department shall not accept incomplete forms. Once Child Nutrition receives the Dietary Accommodation Discontinuation Form, the allergy alert will be removed from the student’s account. Turn in the form directly to the Child Nutrition Department by fax (281-634-1862 attn: Dietitian) OR by email (DLCNDSpecialDiet@fortbendisd.gov).
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Account Reimbursement Transfer Form
This form is used when a student is leaving the school district and needs a refund on their meal account balance. Students that transfer to schools within FBISD do not need to use this form. Your account balance will automatically transfer to the new school.
This form is also used to transfer funds between meal accounts.
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In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
1. mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or2. fax:
(833) 256-1665 or (202) 690-7442; or3. email:
Program.Intake@usda.govThis institution is an equal opportunity provider.