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Civil Rights Forms

PDF File Links Below Word File Links Below
Civil Rights Complaint Form - PDF Civil Rights Complaint Form
Civil Rights Complaint Form
Disclosure of Reduced Price/Free Eligibility - PDF Disclosure of Eligibility - MS Word
Request for Information on Eligibility for Child Nutrition Program Benefits and Policy on Confidentiality
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Nondiscrimination Statement

To use an "enterable" form, first download it to your computer's hard drive as follows:

  1. Right-click on the Microsoft Word or Excel button.
  2. Select "Save Target As" and specify the location on your hard drive where the file will be saved; then click "Save".

Once you have downloaded the file, open it in Word or Excel:

  • Use your <Tab> key to move from enterable field to field.
  • To complete a Word checkbox, use the "X" key or click on the checkbox.
  • Save the completed form on your computer.
  • Print copies to file or return to KSDE as specified in the instructions below for program initiation or renewal.


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To accommodate people with disabilities, on request, auxiliary aides and services will be provided and reasonable modifications to policies and programs will be made. To request accommodations or for more information please contact the Office of General Counsel at or by 785-296-3204.