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Family Day Care Home Sponsors Forms
Annual Administrative Forms
- Administrative Cost Waiver
- Annual CACFP Staff Training Sign-In Sheet
- Prototype Organization Chart
- Statewide Media Release
- Income Eligibility Guidelines - Current & Historical
Handbooks
Income Eligibility
- Income Eligibility Guidelines
- Provider Letter
- Participant Enrollment Form
- Provider Income Eligibility Statement
- FDCH Parent/Guardian Letter
- FDCH Household Income Eligibility Statement
- Categorically Eligible Programs List
- 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
- Meal Benefit Income Eligibility
Menu Information/Meal Patterns
Meal Pattern Flexibility Waiver (SY 2021-2022)
CACFP Meal Pattern Flexibility Waiver (SY 2021-2022) - This waiver request form is for Child and Adult Care Food Program for whole grain-rich, ounce equivalents for grains implementation and flavored milk.
- Infant Meal Pattern Requirements
- Infant Formula/Food Sign-off Statement
- Infant Menu Record Instructions
- Infant Menu Record 0-5 Months
- Infant Menu Record 6-11 Months with no supper
- Infant Menu Record 6-11 Months with supper
- Non-Creditable Infant Foods
- Special Diet Form
- Special Diet Accommodations Guide
- Menu Record Instructions
- Menu Record BALP
- Menu Record BALPSE
- Adult Day Services Menu Record
- Creditable Non-Dairy Beverage Chart
- Food Donation Form
- Food Allergy Guidelines
Sample Menus:
- Pre-K Breakfast Menu (Cold)
- Pre-K Breakfast Menu (Hot and Cold)
- Pre-K Lunch (Cold)
- Pre-K Lunch (Hot)
Provider Forms
Procurement
Expansion/Start-Up Funds
- Application/Agreement Information is available upon request. Contact: MDE-CACFP@michigan.gov
Review Forms
Prototype Letters
- SD Template LARA NOI
- Letters are available upon request. Contact: MDE-CNAP-CACFP@michigan.gov