Individuals applying to participate in CSFP.

CFR · 2024-01-01 · US · Title 7

(a) (1) Name and address, including some form of identification for each applicant; (2) Household income; (3) Household size; and (4) Other information related to eligibility, such as age (b) “This application is being completed in connection with the receipt of Federal assistance. Program officials may verify information on this form. I am aware that deliberate misrepresentation may subject me to prosecution under applicable State and Federal statutes. I am also aware that I may not receive CSFP benefits at more than one CSFP site at the same time. Furthermore, I am aware that the information provided may be shared with other organizations to detect and prevent dual participation. I have been advised of my rights and obligations under the program. I certify that the information I have provided for my eligibility determination is correct to the best of my knowledge.

official document · source cfr-2024 · id 7:§ 247.8