Independent Centers and Sponsors of Centers

• Adult Day Care Component Program Information
• Participant Parent Guardian Letter
• Participant Parent Guardian Letter - Program Pricing
• Household Income Eligibility Statement-Adult Day Services (HEIS)
• Instructions for Participants/Guardians-Adult Day Services - Household Income Eligibility Statement
• Participant Enrollment Form
• Menu Record Instructions - Adult
• Adult Menu Record (blank)
• Adult Menu Record (sample)
• Adult Meal Pattern

Annual Administrative Forms

• Administrative Cost Waiver 
• Annual CACFP Staff Training Checklist 
• Annual CACFP Staff Training Sign-In Sheet 
• Organization Chart 
• Racial /Ethnic Beneficiary Data Form & Instructions - Rev. 8/07
• Statewide Media Release
• Income Eligibility Guidelines - Current & Historical

At-Risk Afterschool Snack & Supper Program 

• Program Information 
• Screening for Unlicensed Facilities 
• Meal Attendance Summary At-Risk Afterschool Snacks/Suppers 
• Average Daily Center Attendance Record Instruction 
• Average Daily Center Attendance Record
• Daily Meal Count Form
• Menu Record Instructions 
• At-Risk Afterschool Snack/Supper Menu Record 
• USDA At-Risk Afterschool Brochure

Center Attendance 

• Average Daily Center Attendance Record Instructions 
• Average Daily Center Attendance Record 

Claiming 

• Center Claim for Reimbursement Instructions 
• Center Claim Submission Instructions 
• Center Claim Amendment Instructions 
• Reimbursement Rates for Centers 
• Reimbursement Computation Worksheet - Excel Interactive 
• Reimbursement Computation Worksheet - PDF
• Claim for Reimbursement Worksheet 
• Sample Claim for Reimbursement Worksheet 
• Multi-Site Claim Worksheet 
• Allowable & Non-Allowable Expenses 
• Food Costs 
• Non-Food Costs 
• Time & Attendance/Time Distribution Instructions 
• Time & Attendance/Time Distribution Form 
• Sample Time & Attendance/Time Distribution Form 
• Summary of Costs 
• Requirements for Employee Compensation Plan 
• Developing a Depreciation Schedule
• Record of Milk Purchases

Income Eligibility Information 

• Income Eligibility Guidelines 
• Household Income Eligibility Statement-Childcare Centers
• Instructions for Parent/Participants/Guardians
• Instructions for Institutions 
• Dear Parent Guardian Letter 
• Dear Parent Guardian Letter (pricing)
• Automatic Eligibility for Head Start
• USDA Meal Benefit Forms - Translations 

Infant Menu Information 

• Infant Meal Pattern Requirements 
• Infant Menu Record Instructions 
• Menu Record 0-3 Months 
• Sample Menu Record 0-3 Months 
• Menu Record 4-7 Months 
• Sample Menu Record 4-7 Months 
• Menu Record 8-11 Months 
• Sample Menu Record 8-11 Months 
• Non-Creditable Infant Foods

Meal Attendance 

• All Category C & Emergency Shelter Children  by Date - Rev. 4/08 
• All Category C & Emergency Shelter Children by Name 
• Meal Attendance (daily) 
• Meal Attendance Summary Record
• All Meals and Snacks Rev. 10/07 
• Weekly Record - Breakfast/Lunch/Snack - Rev. 10/07 
• Weekly Record - Breakfast/Lunch/2 Snacks - Rev. 10/07 
• 2 Week Record - Breakfast/Lunch/Snack - Rev. 10/07 
• Program Adult Meal Attendance 
• Summary Record Instructions 

Menu Information 

• Menu Record Instructions 
• Sample Menu Record 
• Menu Record 
• Breakfast/AM Snack/Lunch/PM Snack/Supper/Eve Snack 
• Breakfast/Lunch/2 Snacks 
• Sample Breakfast/Lunch/2 Snacks 
• Non-Creditable Foods - Rev. 07/08 
• Meal Pattern Requirements - Ages 1-12
• Menu Substitution Log Instructions 
• Menu Substitution Log 
• Food Chart 
• Fluid Milk Substitute Request 

Parent Forms 

• Participant Enrollment Form
• Parent Information Sheet 
• Infant Formula/Food Sign-off Statement 
• Medical Exception Statement for Food Substitution 

Procurement 

• Invitation for Bid and Contract Instructions 
• Food Service Contract with a Non-National School Lunch Program Vendor 
• Food Service Contract with a National School Lunch Program Vendor 
• Record of Meals Purchased 
• Informal Procurement Log and Instructions 

Review Forms 

• Independent Center Administrative Review 
• Sponsoring Organization Administrative Review  
• Review Form for Sponsored Facilities