CACFP Disaster Milk and Meal Flexibility Request

This request form is strictly for CACFP facilities that are under the sponsorship of Georgia Nutritional Services, Inc. 

DECAL state-level flexibility will only be granted to those impacted organizations, sites, or individuals located in a state in which a “State of Emergency” has been declared. Effective March 15, 2020, Governor Kemp declared a State of Emergency in Georgia.  We recognize that due to scarcity of resources, facilities are having difficulty finding meal components such as milk and whole grain rich components.  If you are not able to reasonably locate and purchase any meal components, please complete the form below.

 

WAIVER REQUEST OPTIONS:
FOOD COMPONENT- You may make requests for the following:
- Services without milk or an alternate form of milk (e.g., canned or dry)
- Special variations in menu planning and meal pattern (requires permission from USDA)

MEAL SERVICE - You may request the following:
- Temporary changes in the time of meal service

Complete the form below for GNSI to submit your request to DECAL. If we have further questions, we will contact you immediately for further guidance.

Once submitted, you will have CONDITIONAL permission to make the substitution; however, you will not be reimbursed for meals if DECAL or USDA-FNS reject your request.

If you have any questions, contact your GNSI consultant or anyone in our office.  Additional COVID19 resources available below form.
 

Waiver Request

To request a waiver for any of the listed scenarios, please complete this form in it's entirety.  

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In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, theUSDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.


Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.


To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter 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;
This institution is an equal opportunity provider.

 

(2) fax: (202) 690-7442; or

 

(3) email: program.intake@usda.gov.

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