Income Eligibility Form
Community Eligibility Provision Parent Letter
We are pleased to announce that for the 2025-26 school year, all enrolled students in the Camden Central School District will continue to receive free breakfast and lunch every school day, at no cost to families. This opportunity is available under the Community Eligibility Provision (CEP) of the U.S. Department of Agriculture’s National School Lunch Program. Families do not need to complete household meal applications or income surveys to benefit.
While the Household Income Eligibility form is not required on an individual basis, the District strongly encourages all families to fill one out each year, regardless of their circumstances or needs. The form can be filled out once per household, it’s confidential, and it takes just a few minutes to complete. While we encourage it, it remains optional.
Why Is This Important?
School District funding formulas and government programs often depend on the data from the Income Eligibility Form. More complete data can help drive opportunities that are most reflective of our community’s needs. Examples include continuing free meals, expanded funding for initiatives such as Title I, student application fee waivers for college entrance exams, and other resources for students, staff, and families.
How You Can Help
If you would like to fill out this important but optional form ahead of time, it is available at this link.
Alternatively, one will be sent home with your child at the beginning of the school year, which you can fill out and return to school.
Any forms obtained online through the link above can be mailed to the District Office at your convenience using the following address:
Camden Central School District
ATTN: CEP INCOME FORMS
51 Third Street
Camden, NY 13316
Forms can also be dropped off to the District Office during regular business hours. Due to the sensitive nature of the information on the form, we recommend submitting it in a sealed envelope if possible to help in maintaining confidentiality.
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/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.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:
mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; or
fax: (833) 256-1665 or (202) 690-7442; or
email: program.intake@usda.gov.
This institution is an equal opportunity provider.