APPENDIX C: PROTOTYPE AGREEMENT DISCLOSURE OF FREE AND REDUCED PRICE INFORMATIONPrototype Agreement • July 19th, 2018
Contract Type FiledJuly 19th, 2018[Insert Name of Determining Agency] and [Insert Name of Receiving Agency] acknowledge and agree that children's free and reduced price meal and free milk eligibility information obtained under provisions of the Richard B. Russell National School Lunch Act (42 USC 1751 et seq.) (NSLA) or Child Nutrition Act of 1966 (42 USC 1771 et seq.) (CNA) and the regulations implementing these Acts is confidential information. This Agreement is intended to ensure that any information disclosed by the (insert name of determining agency) to the (insert name of receiving agency) about children eligible for free and reduced price meals or free milk will be used only for purposes specified in this Agreement and that the (insert name of determining agency) and (insert name of receiving agency) recognize that there are penalties for unauthorized disclosures of this eligibility information.
APPENDIX C: PROTOTYPE AGREEMENT: Prototype Agreement • January 27th, 2016
Contract Type FiledJanuary 27th, 2016