Montesano School District

Excellence in Education

502 East Spruce Avenue Montesano, WA, 98563 United States

(360) 249-3942

Montesano is a community where people learn,
grow and work together.  With high-quality
instruction, every student, regardless of race, class,
language, or disability, can succeed. 

Breakfast/Lunch

News Letter

Special Dietary Accommodations

It is important to complete the "Request for Special Dietary Accommodations" form to indicate the need for special dietary restrictions for your student. This form is used to communicate specific allergies and medically necessary food substitutions with the School Nurse and Food Services Department. The district is required to have the "Request for Special Dietary Accommodations" form on file, completed and signed by a recognized medical authority in order to make any substitutions to your students' meals.

For more information about dietary accommodations, click here

Click here to access the Request for Special Dietary Accommodations

National School Lunch Program 

Forms

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

  1. mail:
    U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410; or

  2. fax:
    (833) 256-1665 or (202) 690-7442; or

  3. email:
    Program.Intake@usda.gov

 

This institution is an equal opportunity provider.