Child and Adult Care Food Program

Note: 2012-2013 Application Due Date is November 30, 2012.

Form	Format
Application Documents - UPLOADS ALL PROGRAMS
Application Upload Documents
Administrative Budget Worksheets
Application Certification Signature Page
CACFP Forms
Categorical Eligibility 2011
Center Monitoring Review Form
Child and/or Adult Enrollment Form
FDCH Forms
FDC Home Monitoring Review Form
Parent/Guardian Application and Directions
Adult Client Application
Adult Client Application Directions
Adult Client Guardian Letter
Child and/or Adult Enrollment Form
Parent Application -CACFP, FDC Tier I/Tier II, Provider Tier I/Tier II
Parent Application Directions - CACFP, FDC Tier I/Tier II, Provider Tier I/Tier II
Parent Letter - CACFP
Provider Letter - Tier I
Provider Letter - Tier II
Tier I and II - Notification
Tier I and II - Selection for Verification
Provider Forms
New Provider Determination Tier I Income Worksheet
Provider Application and Agreement
Provider Application Instructions
Provider Tier II-Tier I Eligibility and Notification
Additional Forms
FDCH Menu Reimbursement Worksheet/Menu form
5 Day Reconciliation Form - Child Care Centers ONLY
5 Day Reconciliation Form Policy and Procedure of Meal Counts
5 Day Reconciliation Form - Family Day Care Homes ONLY
50% Eligibility List
Definitions Requirements Page
Income Guidelines 2012-2013
Special Dietary Needs Form (Down Loadable Version)
Special Dietary Needs Form (On-Line Version)
W-9 Form

Microsoft Excel format. You can download a free reader from Microsoft.

Acrobat Reader format. You can download a free reader from Adobe.

Microsoft Word format. You can download a free reader from Microsoft.