Family Day Care Home Sponsors

• Income Eligibility Guidelines 
• Provider Letter 
• Provider Income Eligibility Statement
• FDCH Parent/Guardian Letter
• FDCH Household Income Eligibility Statement 
• Categorically Eligible Programs List
• Food Stamp/FIP/FDPIR Household Instructions 
• Non Food Stamp/FIP/FDPIR Household Instructions
• Instructions for Providers - Provider Income Eligibility Statement
• Instructions for FDCH Parents/Guardians - Household Income Eligibility Statements
• Instructions for FDCH Sponsors - Household Income Eligibility Statements
• Instructions for FDCH Sponsors - Provider Income Eligibility Statements
• USDA Meal Benefit Forms - Translations

Meal Patterns 

• Food Chart 
• Infant Meal Pattern Requirements 
• Food Substitution Form 
• Infant Formula/Food Sign-off Statement 
• Fluid Milk Substitute Request
• Medical Exception Statement for Food Substitution

Provider Forms

• Home Application
• Provider/Sponsor Agreement

Expansion Grant 

• Application 
• Agreement 

Review Forms 

• FDCH Administrative Review 
• Provider File Review 
• Provider Home Review 
• Expansion Grant Review 

Other Forms and Instructions 

• Unliquated Reimbusement Form Instructions 
• Unliquidated Reimbursement Return Form
• Serious Deficiency (SD) Flow Chart for Sponsors
• Sample Appeal Procedures
• Prototype Letter A - Serious Deficiency Notice
• Prototype Letter B - Corrective Action Accepted, Temporary Deferment of Serious Deficiency
• Prototype Letter C - Notice of Proposed Termination and Proposed Disqualification
• Prototype Letter D - Proposed Termination and Disqualification (repeat finding of Serious Deficiency)
• Prototype Letter E - Notice of Termination and Disqualification (following failure to appeal)
• Prototype Letter F - Notice of Termination and Disqualification (after Sponsor wins appeal)
• Prototype Letter G - Notice of Temporary Deferment of Serious Deficiency and Rescission of Proposed Termination and Disqualification (after provider wins appeal)
• Prototype Letter H- Notice of Combined Serious Deficiency, Suspension, Proposed Termination, and Proposed Disqualification: Imminent Threat to Health and Safety
• Prototype Letter I - Notice of Termination and Disqualification: Imminent Threat to Health and Safety (following failure to appeal)
• Prototype Letter J - Notice of Termination and Disqualification: Imminent Threat to Health and Safety (after Sponsor wins appeal)
• Prototype Letter K - Notice of Temporary Deferment of Serious Deficiency, Rescission of Suspension, Proposed Termination and Proposed Disqualification: Imminent Threat to Health or Safety (after provider wins appeal)