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Submit your completed form or letter to USDA by: Mail: U. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D. 20250-9410 Fax: 202-690-7442; or Email: [email protected] institution is an equal opportunity provider.

MSDE Non-Discrimination Statement The Maryland State Department of Education does not discriminate on the basis of age, ancestry/national origin, color, disability, gender identity/expression, marital status, race, religion, sex, or sexual orientation in matters affecting employment or in providing access to programs and activities and provides equal access to the Boy Scouts and other designated youth groups.

Here is what you should know: Service and procedure pricing We give good faith estimates to patients, both with and without insurance.

If you have insurance, we will give you an estimate of the contracted payment amount Fairview expects to receive from your insurance company.

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You may apply for free and reduced price meals at any time during the school year. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.The information in this section is designed to help you understand what we can do to assist you, what you can do to assist us and your insurance provider, and how we can help if you have difficulty paying your bills.What you should know We want to help you understand and avoid problems when paying your bills.To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: 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.