Pandemic-EBT Reconsideration Form

The Michigan Department of Health and Human Services has specific eligibility requirements for both schools and students.

• Eligible schools must:

• Be closed or have reduced in-person learning for at least 5 consecutive days in the current school year (beginning no earlier than September 9, 2020).
• Be a provider of the National School Lunch Program

PLEASE NOTE:  Niles Community Schools did not qualify as an eligible school since the majority of our students received in-person instruction for the majority of each month. 

Since this is the case all students who were virtual students these months and qualified for free/reduced meals can complete the Reconsideration form below.

The building your child is enrolled in can provide you with the necessary documentation that must be included with the P-EBT Reconsideration Form.

PARENT/GUARDIAN RESPONSIBILITIES:  It is your responsibility to complete the P-EBT Reconsideration form, retrieve the necessary documentation from the building your child is enrolled at and mail the form to the address provided on the form. 

Pandemic-EBT Reconsideration Form.docx

Pandemic-EBT Reconsideration Form.pdf

If you have any questions while completing this form please call the Michigan Department of Health and Human services at 1-833-905-0028

• Eligible students must:

• Be enrolled in a Michigan school
• Participate in a virtual or hybrid school schedule
• Be eligible for free or reduced lunch or attend a Community Eligibility Provision school

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