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NJ Household Information Survey

This survey is used to determine eligibility for state benefits for which your child(ren)'s school may qualify.  We only need 1 survey for all the children that attend schools in the same school district. 
You must include yourself and all people living in your household, related or not (for example, children, grandparents, other relatives, or friends) with shared income and expenses. If you live with other people who are economically independent (they do not share income with you/your children and they pay a share of the expenses), do not include them.
Thank you.

For Print - Please complete, print, and return the survey to your child's teacher.

English Version Spanish Version

To Fill Out Electronically - Please use links below

English Version Spanish Version