Independent Centers and Sponsors of Centers

Annual Administrative Forms

• Administrative Cost Waiver
• Annual CACFP Staff Training Checklist
• Annual CACFP Staff Training Sign-In Sheet
• Prototype Organization Chart
• Ethnicity and Racial Beneficiary Form & Instructions
• Statewide Media Release
• Income Eligibility Guidelines - Current & Historical
• Supporting Documents
• Procurement and Pricing Programs
• Facts about WIC
• Outside Employment Policy for Sponsoring Organizations

At-Risk Afterschool Snack & Supper Program 

• Screening for Unlicensed Facilities
• Average Daily Center Attendance Record Instructions
• Average Daily Center Attendance Record
• At Risk Afterschool Daily Meal Count Form
• At-Risk Afterschool Menu Record Instructions
• At-Risk Afterschool Snack/Supper Menu Record
• At-Risk Afterschool Snack/Supper Menu Record Sample
• Meal Attendance Summary Record ARAS Snacks/Suppers

Center Attendance 

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

Claiming

• Visual Snapshot Claim Instructions
• Center Claim for Reimbursement Instructions
• Center Claim Amendment Instructions
• Claim for Reimbursement Worksheet
• Reimbursement Rates for Centers 2025-26
• Allowable & Non-Allowable Expense
• Creditable and Non-Creditable Foods Guide
• Food Costs
• Time & Attendance/Time Distribution Instructions
• Time & Attendance/Time Distribution Form
• Sample Time & Attendance/Time Distribution Form
• Summary of Costs 
• Record of Milk Purchases
• Food Donation Form

Income Eligibility Information 

• Income Eligibility Guidelines
• Household Income Eligibility Statement
• Instructions for Parent/Participants/Guardians
• Instructions for Institutions 
• Dear Parent Guardian Letter
• Dear Parent Guardian Letter (pricing)
• Meal Benefit Income Eligibility

Infant Menu Information

• Infant Meal Pattern Requirements
• Infant Menu Record Instructions
• Menu Record 0-5 Months
• Menu Record 6-11 Months with no supper
• Menu Record 6-11 Months with supper
• Non-Creditable Infant Foods
• Infant Formula/Food Sign-off Statement

Meal Attendance 

• All Category C & Emergency Shelter Children by Date
• All Category C & Emergency Shelter Children by Name
• Meal Attendance (daily)
• Meal Attendance Summary Record
• All Meals and Snacks Rev. 10/07
• Point of Service (POS) Meal Service for Child and Adult Care Food Program (CACFP)
• Weekly Record - Breakfast/Lunch/Snack - Rev. 10/07
• Staff Meal Attendance 
• Summary Record Instructions 

Menu Information 

• Menu Record Instructions
• Menu Record BALP
• Menu Record BALPSE
• Meal Pattern Requirements - Ages 1-12
• Menu Substitution Log Instructions
• Menu Substitution Log
• Special Diet Accommodations Guide
• Fluid Milk Substitution Request Form 
• Soy Beverage Chart
• Meal Pattern Checklist
• Vegetarian Diets
• Pre-K Michigan School Meal - FAQs
• Grain-Based Desserts

Parent Forms 

• Participant Enrollment Form
• Build for the Future - Parent Information Sheet 
• Infant Formula/Food Sign-off Statement 
• Request for Special Dietary Needs Accommodations Form
• CACFP Special Dietary Accommodations Bundle

Pricing Program

• Letter of Verification Results
• CACFP Pricing Policy

• Participant Parent Guardian Letter
• Participant Parent Guardian Letter - Program Pricing
• Household Income Eligibility Statement-Adult Day Services (HIES)
• Instructions for Participants/Guardians-Adult Day Services - Household Income Eligibility Statement
• Instructions for Institutions-Adult Day Services-Household Income Eligibility Statement
• Participant Enrollment Form
• Menu Record Instructions
• Adult Menu Record
• Adult Meal Pattern
• Income Eligibility Guidelines

Sponsor of Centers 

• Permanent Agreement - Sponsor of Unaffiliated Center for CACFP

Monitoring Forms

• Monitoring Form for Sponsors of Centers: Use for child care (including GSRP and Head Start) and Emergency Shelters

• Monitoring Form for Sponsors of Centers with Adult Day Services: Use if you have Adult Day Services along with child care (including GSRP and Head Start), Emergency Shelters, At-Risk Afterschool Meals Programs

• Monitoring Form for Sponsors of At-Risk Afterschool Programs ONLY: do NOT use if you operate both a childcare program and At-Risk Afterschool Meals Programs

• Additional Room Worksheet for Meal Observation: Use if the site you are reviewing has additional rooms that need to be reviewed as part of your monitoring review

• Monitoring Tracking Tool is available upon request. Contact:  MDE-CACFP@michigan.gov

Prototype Letters

• Letters are available upon request.  Contact:  MDE-CACFP@michigan.gov