USDA Nondiscrimination Statement for Mary of Nazareth Catholic School Food Service:
To file a program complaint of discrimination, complete the USDA Program Discrimination ComplaintForm, (AD-3027) found online at:
, and at anyUSDA office, or write a letter addressed to USDA and provide in the letter all of the informationrequested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit yourcompleted form or letter to USDA by: (1) Mail: U.S. Department of Agriculture Office of the AssistantSecretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) Fax: (202)690-7442; or (3) E-mail:
. This institution is an equal opportunity provider.This statement must be used as provided above. Spacing may not be changed. Font size may bealtered but can be no smaller than the smallest font of the document. The Pennsylvania Departmentof Education (PDE), Division of Food and Nutrition (DFN), encourages the use of this document in itsentirety; however, in special circumstances, “This institution is an equal opportunity provider andemployer,” may be utilized but only with prior approval of PDE/DFN.