Income Eligibility Forms (IEFs), Household Income Eligibility Guidelines (HHIG), and Reimbursement Rates
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- Adult Day Care Centers
Fiscal Year 2023-2024 (July 1, 2023 to June 30, 2024)
- Household Income Eligibility Guidelines (HHIG).
- Reimbursement Rates for Adult Day Care Centers.
- Adult Day Care Center Income Eligibility Form (IEF) in English.
- Adult Day Care Center Income Eligibility Form (IEF) letter in English.
- Adult Day Care Center Income Eligibility Form (IEF) in Español (Spanish).
- Adult Day Care Center Income Eligibility Form (IEF) letter in Español (Spanish).
- Adult Day Care Center Income Eligibility Form (IEF) in Soomaali (Somali).
- Adult Day Care Center Income Eligibility Form (IEF) letter in Soomaali (Somali).
- Adult Day Care Center Income Eligibility Form (IEF) in Русский (Russian).
- Adult Day Care Center Income Eligibility Form (IEF) letter in Русский (Russian).
- Adult Day Care Center Income Eligibility Form (IEF) in العربية (Arabic).
- Adult Day Care Center Income Eligibility Form (IEF) letter in العربية (Arabic).
Fiscal Year 2024-2025 (July 1, 2024 to June 30, 2025)
- Child Care Centers
Fiscal Year 2023-2024 (July 1, 2023 to June 30, 2024)
- Household Income Eligibility Guidelines (HHIG).
- Reimbursement Rates for Child Care Centers.
- Reimbursement Rates for Emergency Centers, Head Start, At-risk Afterschool Programs.
- Child Care Center Income Eligibility Form (IEF) in English.
- Child Care Center Income Eligibility Form (IEF) letter in English.
- Child Care Center Income Eligibility Form (IEF) in Español (Spanish).
- Child Care Center Income Eligibility Form (IEF) letter in Español (Spanish).
- Child Care Center Income Eligibility Form (IEF) in Soomaali (Somali).
- Child Care Center Income Eligibility Form (IEF) letter in Soomaali (Somali).
- Child Care Center Income Eligibility Form (IEF) in Русский (Russian).
- Child Care Center Income Eligibility Form (IEF) letter in Русский (Russian).
- Child Care Center Income Eligibility Form (IEF) in العربية (Arabic).
- Child Care Center Income Eligibiltiy Form (IEF) letter in العربية (Arabic).
Fiscal Year 2024-2025 (July 1, 2024 to June 30, 2025)
- Family Child Care Homes
Fiscal Year 2023-2024 (July 1, 2023 to June 30, 2024)
- Household Income Eligibility Guidelines (HHIG) for Home Providers.
- Reimbursement Rates for Home Providers.
Fiscal Year 2024-2025 (July 1, 2024 to June 30, 2025)
General Forms
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- Special Diet Statements and Milk Substitution Forms
Special Diet Statement Forms
- Understanding Special Dietary Requests with CACFP - English.
- Understanding Special Dietary Requests with CACFP - Español (Spanish).
- Special Diet Statement Form in English.
- Special Diet Statement Form in Español (Spanish).
- Special Diet Statement Form for Adult Day Care Participants.
Milk Substitution Forms
- Reviews
What to expect during a CACFP desk audit review:
- Adult Day Care Centers.
- Afterschool Programs.
- Child Care Centers.
- Homeless Shelters.
- School Food Authorities (SFAs).
Review Results
- Sponsors of Centers (SOCs)
Site Visit Forms
- Menus and Production Records
Menu Templates
- 5-day Menu Template: Breakfast, Lunch, and Snack.
- 5-day Menu Template: Breakfast, Snack, and Snack.
- 5-day Menu Template: Breakfast, Snack, and Supper.
- 5-day Menu Template: Lunch, Snack, and Supper.
- 5-day Menu Template: Snack, Snack, and Supper.
- 7-day Menu Template: Breakfast, Lunch, and Snack.
- 7-day Menu Template: Breakfast, Snack, and Snack.
- 7-day Menu Template: Breakfast, Snack, and Supper.
- 7-day Menu Template: Lunch, Snack, and Supper.
- 7-day Menu Template: Snack, Lunch, and Snack.
- 7-day Menu Template: Snack, Snack, and Supper.
Production Records
- 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 and Production Record - 0-5 Months in English.
- Infant Menu and Production Record - 0-5 Months in Español (Spanish).
- Infant Menu and Production Record - 6 -11 Months in English.
- Infant Ment and Production Record - 6-11 Months in Español (Spanish).
- Record of Meals Served (ROMs)
- Resources and Templates
- Child Nutrition (CN) Label Guide.
- Tips for Evaluating a Manufacturer's Product Formulation Statement (PFS).
- Milk Worksheet Calculation Tool.
- Donated Foods Receipt Form.
- Team Nutrition Materials / Order Free Copies.
- Institute of Child Nutrition (ICN).
- Handwashing Poster.
- Food Recall Information Sheet.
- Food Service Management Contract Template.
- Child Care Center Enrollment Form Template.
- Adult Day Care Center Enrollment Form Template.
- Monthly Roster of Enrolled Children Template.
- Annual CACFP Staff Training Template.