This government document is issued by Department of Education for use in Rhode Island
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https://www.google.com/url?client=internal-element-cse&cx=008299334994399521686:garnretpgve&q=https://www.ride.ri.gov/Portals/2/Uploads/Documents/CACFP-Forms/FY%252018%2520Meal%2520Benefit%2520Application%2520Child.pdf&sa=U&ved=2ahUKEwirh9GIjZf-AhUkZ_EDHRF_DA84MhAWegQICBAB&usg=AOvVaw3-Pzgarx8azqmp9wzpW4jF