Reimbursement forms
Adult care centers
- 2021-2022 reimbursement rates for adult day care centers.
- 2021-2022 Household Income Eligibility Guidelines.
- 2021-2022 adult care center IEFs and letters.
Child care centers
- 2021-2022 reimbursement rates for child care centers | Emergency centers, Head Start, at-risk afterschool programs.
- 2021-2022 Household Income Eligibility Guidelines.
- 2021-2022 child care centers IEFs and letters.
Family child care homes
- 2021-2022 reimbursement rates for home providers
- 2021-2022 Household Income Eligibility Guidelines for home providers.
- 2021-2022 CHIEF and letter | Spanish.
- 2021-2022 Provider IEF | Spanish.
- 2021-2022 Provider IEF letter | Spanish.
- 2021-2022 Child Enrollment Form.
Special diet statements and milk substitution forms
- Milk Substitute Request Form | Spanish.
- Special diet statement | Spanish.
- Adult day care special diet statement.
Reviews
What to expect during a CACFP desk audit review
- Adult day care centers.
- Afterschool programs.
- Child care centers.
- Homeless shelters.
- School food authorities.
Sponsors of Centers
Site visit forms
- Child care centers.
- After school sites.
- Homeless & emergency shelters.
- SFA child care programs.
- SFA afterschool programs.
- Adult day care site visit form.
Menus and production records
- Five-day menu templates | Seven-day menu templates.
- Adult Production Records.
- Production Record - children 1-2 years old.
- Production Record - children 3-5 years old.
- Production Record - children 6-12 years old.
- Production Record - youth 13-18 years old.
- Infant Menu &, Production Record - 0-5 Months.
- Infant Menu &, Production Record - 6 -11 Months.
Record of Meals served (ROMs)
- ROMs with staff meals.
- ROMs Digital Calculation Tool.
- ROMs for at-risk afterschool programs.
- ROMs for Headstart.
General Forms
Resources
- Claims due dates.
- Civil Rights materials.
- Food recall information.
- CN labeling PFS tip sheet.
- Milk Worksheet Calculation Tool.
- Handwashing poster.
- Donated Foods Receipt.
Templates