Food Services Forms

Please click on the links below to download PDF versions of the form.

Free and Reduced Lunch Application Process

To apply for Free and Reduced priced meals, please fill out an application, sign it and return it to your child’s school immediately or mail it to:

Chesterfield County Public School Food and Nutrition Services
ATTN:  FR
7610 Whitepine Road
N. Chesterfield, VA 23237

Applications packets will be given to all students in elementary and middle schools on the first day of school.

If you were approved for free or reduced meals in Chesterfield last year, your current application will expire on October 14, 2014.

Please remember only one application per household.  If approved, free or reduced qualifies your child/children for breakfast and lunch

Nondiscrimination: This explains what to do if you believe you have been treated unfairly: In accordance with federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion or disability. To file a complaint of discrimination, write USDA, Director, Office of Adjudication, 1400 Independence Avenue SW, Washington, D.C. 20250-9410 or call toll-free (866) 632-9992 (voice). Individuals who are hearing impaired or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (Spanish). USDA is an equal opportunity provider and employer.