# Form checklist

Source: `examples/school-meal-application.txt`. 20 fields in 5 sections; 12 marked required, 1 sensitive (fill those in yourself).

## Before you start, gather

- Please attach a copy of a recent pay stub for each working adult if you completed Part 3. (line 33)
- The pay stub, tax return, receipt, or statement that shows each amount (needed for a field below)
- The ID card or document with this number (needed for a field below)

## Deadlines and where it goes

- Applications received by September 30, 2026 are processed before benefits from last year end. (line 6)
- Return this form to the school office or mail to: Lakeside USD Nutrition Services, 200 Harbor Road, Lakeside. (line 5)

## Skip rules

- If yes, write the case number and skip to Part 4. (line 15)

## PART 1: CHILDREN IN SCHOOL

| # | Field | Kind | Required | What to put |
| - | ----- | ---- | -------- | ----------- |
| 1 | Child's first name | name | yes | Exactly as it appears on your ID, including middle name or initial if the form asks. |
| 2 | Last name | name | yes | Exactly as it appears on your ID, including middle name or initial if the form asks. |
| 3 | MI | name | unclear | Exactly as it appears on your ID, including middle name or initial if the form asks. |
| 4 | School | employer or school | yes | Full name of the employer or school, as on a pay stub or report card. |
| 5 | Grade | grade | yes | The grade the child is in for the school year the form covers. |
| 6 | Is this child a foster child? (Yes / No) | yes or no | unclear | Tick one. If yes, check whether the form tells you to answer more questions. |

## PART 2: BENEFITS

| # | Field | Kind | Required | What to put |
| - | ----- | ---- | -------- | ----------- |
| 7 | Does anyone in your household receive SNAP, TANF, or FDPIR? (Yes / No) | yes or no | unclear | Tick one. If yes, check whether the form tells you to answer more questions. |
| 8 | Case number | text | unclear | Answer in a few words. If it does not apply, write N/A rather than leaving it blank. |

## PART 3: HOUSEHOLD INCOME

| # | Field | Kind | Required | What to put |
| - | ----- | ---- | -------- | ----------- |
| 9 | Name of adult household member | name | yes | Exactly as it appears on your ID, including middle name or initial if the form asks. |
| 10 | Earnings from work before taxes | money | yes | Check whether it asks per month or per year, before or after taxes (gross or net). Use the exact figure from your paperwork. |
| 11 | How often? (Weekly / Every 2 weeks / Twice a month / Monthly) | choice | unclear | Tick the option that fits. Read whether you may tick more than one. |
| 12 | Total household members (children and adults) | count | yes | A number. Read how the form defines it (for example, who counts as household). |
| 13 | Last four digits of Social Security Number of the adult signing | ID number, sensitive | yes | Copy it from the card or document itself. Type it yourself; do not paste it into chat. |
| 14 | Check if no SSN | checkbox | unclear | Tick only if this is true for you. |

## PART 4: SIGNATURE

| # | Field | Kind | Required | What to put |
| - | ----- | ---- | -------- | ----------- |
| 15 | Signature of adult household member | signature | yes | Sign last, only after every answer is checked. Use the same name as on the form. |
| 16 | Date | date | yes | Use the date format the form shows; MM/DD/YYYY if it shows none. For today's date, use the day you sign. |
| 17 | Printed name | name | yes | Exactly as it appears on your ID, including middle name or initial if the form asks. |
| 18 | Phone | phone | optional | A number where you can take a call during the day, with area code. |
| 19 | Email | email | optional | An address you check often; replies and deadlines may come here. |
| 20 | Home address | address | yes | Your current home address unless it asks for mailing address. Match what is on your ID or a recent bill. |

_Field list from the form's text. Follow the form's own instructions where they differ._