Air Quality Waiver Form 2025

Sponsor Information Name of Sponsor Sponsor Agreement Number If Sponsor is not listed, enter the name here Name of Person Submitting Form Email of Person Submitting Form

Directions Air Quality Requirements - Outside meal service locations would be permitted to provide non-congregate meals when the area experiences an Air Quality Alert issued by the National Weather Service (NWS) and the site does not have an alternate indoor facility. Comments about Air Quality Meal Service Location Change Submission:

Air Quality Meal Service Location Change Requested Date to Serve Non-Congregate Meals due to Air Quality Site Name Meals to Be Taken Offsite Serving Time-Breakfast Serving Time-Lunch Serving Time-Snack Serving Time-Supper

Certification With the submission of this form, I certify all SFSP rules will be applied to all meals taken off-site including complete meals being served during the approved time frames and a point of service meal count will be taken.