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Mississippi Office of Healthy Schools - A Coordinated Approach to Health and Safety
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Health Education Services
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Nutrition Services
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OCN Forms
  • All Forms are listed in PDF format.

  • The text documents can be edited directly on your computer.

  • If there is a form that you need that is not here, click here to e-mail the Child Nutrition webmaster.

PDF Format: If you would like a copy for your records, you must print your completed form. You cannot save data typed into this form if you are using Acrobat Reader.


Click here to download Adobe for pdf files.


OCeaN

OCeaN Login Request Form
Online NLSP Permanent Agreement
Signature Change Form for All Organizations
Mississippi Congressional Districts Map

School Lunch

Meal Applications (Click here to access)
Instructions for School Food Authority Verification Summary Report
School Food Authority Verification Summary Form
After School Care Program Amendment to NSLP Permanent Agreement
Sample Procurement Plan w/memo
School Food Authority Application for Participation
Non-Public School Food Authority Application for Participation
School /Sites Application for Participation
Pricing Programs Schedule of Collection and Meal Count Procedures for Participating Schools/Sites
Examples of Collection Procedures for Breakfast/Lunch
Example of Request for Severe Need Breakfast
Medical Statement for Non-Disabled Child/Children
Medical Statement for Disabled Child/Children
Religious Statement for Child/Children
Request for Self-Prep or Central Kitchen Site Inspection - SFSP
Request for Satellite Site Inspection - SFSP
Request for Provisions 2 or 3 (with sample letters)
Amendment to the Free and Reduced Price Policy Statement Provision 2
PDF
Amendment to the Free and Reduced Price Policy Statement Provision 3
PDF

Training

Application for Certification

PDF


Operational Audits - None currently available


Claims and Finance

Financial Statement for School Lunch Program Fund

PDF

Monthly Financial Statement for Severe Need Breakfast/School Lunch Program Fund     

PDF

Monthly Claim for Reimbursement - NSBP/NSLP

PDF


Purchasing and Food Distribution

USDA Commodity Complaint Form

PDF

USDA Donated Commodities Short/Damage Report

PDF

Food / Product Complaint Form PDF
Example of Record of Transfer of Commodities Between Schools PDF
Example of USDA Donated Food Loss Report PDF

Miscellaneous - None currently available


Child Care

CACFP Meal Applications (Click here to access)

Request for Approval PDF
Permanent Agreement between Sponsors and Provider PDF
CACFP Instructions PDF
CACFP Appeals and Fair Hearings PDF

CN Main Home

CN Programs

Online Programs

Nutrition Education

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Non-Discrimination Statement

CN CALANDAR OF EVENTS

hEALTHIERus sCHOOL cHALLENGE

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