Forms
Child Nutrition Non – Discrimination Statement
USDA Non-discrimination Statement
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:
- mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or - fax:
(833) 256-1665 or (202) 690-7442; or - email:
[email protected]
This institution is an equal opportunity provider.
LEON ISD Complaint Procedure
The LEON ISD Child Nutrition Staff is committed to serving students, staff and administrators with respect and without discrimination. The Child Nutrition Staff attends annual civil rights training in efforts to serve all customers with excellent customer service. If a customer of the Child Nutrition Staff believes they have been discriminated based on race, color, national origin, sex, age or disability, there are several ways a household may make a program complaint of discrimination. All complaints may be given via verbally, written, or stated in person and are encouraged to file a discrimination complaint to one of the following:
LOCAL - To file a program complaint of discrimination locally:
The household member would complete a LISD Local Complaint Form and submit the completed form to Leon ISD Child Nutrition Department by email to kcunningham@leonisd.net or in person or mail at 12168 HWY 79 West, Jewett, Tx 75846. All Food Service complaints alleging discrimination based on race, color, national origin, sex, age, or disability via verbal statement, written statement, or stated in person must be accepted by Child Nutrition personnel and will be forwarded to the Texas Department of Agriculture.
- STATE - To file a program complaint of discrimination to the Texas Department of Agriculture:
The household member would complete the Texas Department of Agriculture Discrimination Complaint Form and submit the completed form to the Texas Department of Agriculture via the following:
Mail: F & N Headquarters
Texas Department of Agriculture, Food and Nutrition
- PO. Box 12847
Austin, TX 78711
Fax: (888) 237-5226
Phone: (877)-839-6325
- FEDERAL - To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866-632-9992). Submit your completed form or letter to USDA by:
Mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue
SW, Washington, D.C. 20250-9410
Fax: (202) 690-7442; or
Email: [email protected].
Leon ISD Child Nutrition personnel taking the complaint, must accept the complaint either verbally, in writing, or in person. Personnel is required to note on the complaint form the name of the person receiving the complaint and if the person receiving the complaint transcribed the complaint or if the complainant filled out the form themselves.
Documentation will demonstrate that Leon ISD will not attempt to resolve complaints without forwarding the complaint to the Texas Department of Agriculture. Leon ISD will initiate resolution of the complaint while waiting for a response from the Texas Department of Agriculture. Documentation of what was done to resolve the complaint will be kept on file in the Child Nutrition Department.
This institution is an equal opportunity provider