Office of Educational Services & Support

   

Forms & Documents (CACFP)

Numbered Memos
CACFP DCH Subject
  1 Contracting for Administrative Responsibilities
2   Confidentiality of Meal Eligibility Information
5   Federal Government Layoff Effect on CNPs
7 3 Juice Products in CNP's
  4 Tiering DCH
8   Limitation on Number of Meals Claimed Daily
9.1   Reimbursement for Meals-Food from Parents
10   Add'l Info on Limitation on # Meals Claimed
11 Cheese Alternates
12 Lowfat Peanut Butter
14   Grain Bread
15 6 Requirement to Offer Infant Formula
7 Provider Letter and Application for Tier 1
16 Guidance - Products with Apple Juice
17 Yogurt as a Meat Alternative
18 Soy Butter
20 Confidentiality of Free/Reduced Price Info
21 Salsa
24 Limited Disclosure of Children's Free and Reduced Price Meal Or Free Milk Eligibility Information
26.1 Off-Site Meal Request
27 Pre-K Children in NSLP
11 One Home for Per Provider
12 Meal Prep in Homes
28 13 Federal Nonprocurement Suspension and Debarment Waiver Procedures
29 14 Small Purchases
30 15 Early Head Start Programs
31 16 Eligibility for GI Bill
32 17 Changes to CACFP
33 18 Q & A on Yogurt
34 20 PL 105-336
35 Revisions to Planning Guide
36 21 Revised Definition of Infant Cereal
37 22 Evaluation of IEFs with New IEGs
38 23 Automatic Eligibility State Funded Pre-K
39 24 Infant Meal Pattern Q & A
40 Questions about Snack After School (SAS)
41 25 Food Stamp Case Numbers
42 26 Categorical Eligibility of Pre-K Even Start
43 27 Implementation of ARPA
44 28 Limited Disclosure with State Medicaid & CHIP
45.1 29.1 Doctor Statements and Special Diets
CACFP DCH Subject
46 30 Q & A in the CACFP
47 31 Implementation of PL 106-224
48 32 Monitoring Requirements for Sponsoring Organizations
33 Serious Deficiency Procedures for DCH
34 Termination of DCH
50 35 Q & A in the CACFP
37 Calculating and Applying the 30% Limitation
52 38 Q & A on Alternate Protein Products
53 39 Q & A in the CACFP
54 41 Exemption of Military Dependents in Residential Care with Providers
42 Employees Morale Items
55 43 Layoff Notification
44 Claiming Providers Own Children when NSLP is Available
46 Procedures for Contacting the State's Attorney
55 47 Q & A in the CACFP
48 Use of Stop Payments
56 49 Buy American Provision
57 50 Family Size and Income Determinations for Military Families
58.1 Exclusion of Housing Allowance
59 52 Obligation to Offer Formula
62 53 Iron Fortified Infant Formulas
63 54 Unannounced Review Policy
64 55 Q & A in the CACFP
65 56 Baby Fruits / Vegetables with DHA
CACFP DCH Subject
66 57 Military Families and Eligibility in the Child Nutrition Programs
68 59 Reimbursement of Infant Meals
70   Standardized Recipes
Standardized Recipe Form
Standardized Spaghetti
Recipe Analysis Spaghetti
Recipe Analysis Worksheet
71 60 Monitoring Staffing Standards
72 61 Q & A in the CACFP
73 62 Effects of Bussing
74 Shared Maintenance Fee
75 63 Q & A in the CACFP
76 64 Sponsor Monitoring Requirements
77 65 Q & A in the CACFP
66 Extension of Tiering Determinations
67 Permanent Sponsor Provider Agreements
78 68 Medicare Drug Card
79 Age Limits in Emergency Shelters
80 69 Horizon Organic Infant Formula with Iron
81 70 Allowability of Cost for Directors and Officers Insurance
71 Food Stamp Participants List
82 72 Block Claim Edit Check
83 73 Annual Updating of CACFP Enrollment Forms
84 74 Annual Training Requirement
85 75 5-day Reconciliation of Meal Counts and Enrollment Forms
86.1 Household Contacts for Sponsors of Centers
CACFP DCH Subject
76.1 Household Contacts for Sponsors of Homes
77 Meal Count Requirements for GFDCH & Seriously Deficient Providers
87 78 Clarification on Infant Formulas
88 79 Q & A
89 80 Documenting Reasons for Block Claiming
90 81 Emergency Feeding Katrina
91 Conducting Five-Day Reconciliation in Sponsored Centers
92 82 Amended Nondiscrimination Statement for Child Nutrition Programs
93 83 Q & A
94.1 84.1 Re-released Clarify Monitor Requirements
95 85 Free & Reduced Price Eligibility Determinations
96 86 Issues Relating to Block Claims
97 87 Q&A
98 90 FSSA Exclusion
99 88 Drought Effects Eligibility
100 89 Civil Rights Instruction
101 91 Q & A
92 Retention of Serious Deficiency Records
102 93 Determining Creditability for Breakfast Cereals
Applications
Child and Adult Care Food Programs (CACFP)

Other Forms
ADA Worksheet
Breads and Grains Chart
CACFP Building for the Future Flyer
CACFP Meal Patterns for Children and Infants
CACFP Production Record
Eligibility Roster
Enrollment Forms for Children and Infants
Fiscal Accountability Policies and Procedures
Infant Formula Offer Centers
Infant Menu Production Record - Individual Child Option
Infant Menu Production Record - Individual Child Option - Instructions
Infant Menu Production Record Form - Group Option 1
Meal Count & Attendance Report
Menu Record Form
Monitoring Review Form
Nondiscrimination Assignment of Program Duties Sample
Off-Site Meal Request Form
Outside Employment Policy Examples
Parent Contact Prototype CCC
Recipe Analysis Forms
Record of Meals Served Form (word) | Excel
Recruitment Policies and Proceedures
Reimbursement Worksheet
Review of Records Summary
Time in - Out Record - Example 1
Time in - Out Record - Example 2
Unannounced Review Policy
 
Reimbursement Rates & Claims

 

   

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