FSP 40PA - Louisiana
SNAP 40PA
Issued: 01/10 |Louisiana Department of Social Services
Office of Family Support | | |
|Homeless Meal Provider Agreement |
|I | |certify that | |
| |(Name of Director) | |(Name of Establishment) |
|is a public or private nonprofit establishment that serves meals to the homeless. I understand and agree with the following conditions: |
|Supplemental nutrition assistance recipients must be given the option of using cash if payment for a meal is required. In addition, if |
|others have the option of eating free or making a monetary donation, homeless supplemental nutrition assistance recipients must be given |
|the same option. The amount requested from homeless supplemental nutrition assistance recipients to purchase meals may not exceed the |
|average cost, to the homeless meal provider, of the food contained in a meal served to the patrons of the meal provider. If a homeless |
|recipient voluntarily pays more than the average cost of food contained in a meal served, I may accept it. |
| |
|I will not be permitted to serve as "Authorized Representative" for homeless supplemental nutrition assistance households. |
| | | |
|Homeless Meal Provider Applicant | |Date |
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