Child and Adult Care Food Program
The Child and Adult Care Food Program (CACFP) was established for child care centers in 1968 under Section 16 of the National School Lunch Act and the Child Nutrition Act.
CACFP provides aid to child and adult care institutions and family or group day care homes for the provision of nutritious foods that contribute to the wellness, healthy growth, and development of young children, and the health and wellness of older adults and chronically impaired disabled persons.
Through CACFP, more than 3.3 million children and 120,000 adults receive nutritious meals and snacks each day as part of the day care they receive.
Program Authorization Form
Income Eligibility Form 2021-2022
CACFP Rates 2021-2022
Child Care Center Forms
- 5 Day Reconciliation Form
- Center Application & Agreement
- Categorical Eligibility
- Center Monitoring Review Form
- Eligibility Template Non-Pricing
- Eligibility Template Pricing
Family Day Care Home Forms
- Eligibility Guidance for FDCH
- FDCH Provider Application & Agreement
- FDCH Provider Application Instructions
- FDCH 5 Day Reconciliation Form
- FDCH Menu Reimbursement Worksheet/Menu Form
- FDCH Monitoring Review Form
- New Provider Determination Worksheet Tier I
- Tier I and Tier II Reimbursement Determination Notification
- Tier I and Tier II Selection for Verification
Adult Facilities Forms
Parent/Guardian Application & Direction Forms
- Child & Adult Enrollment Form
- Child Care/FDCH Income Eligibility Form
- Child or Adult Income Eligibility Instructions
- Child Care Center Parent Letter - Income Eligibility
- Child Care/FDCH Income Eligibility - Spanish
- Child Care Center Enrollment & Eligibility For Profit Centers
Provider Forms
- 5 Day Reconciliation Form Policy & Procedure of Meal Counts
- 50% List - January 2020 Claims
- Definitions Requirement Page
- Income Eligibility Guidelines
- Non Discrimination Statement
- Provider Appeals Process - Attachment M
- Rates
- Special Dietary Medical Statement Form
- W-9
- New Center Documents Required
- Free & Reduced Applications in multiple languages link
At Risk
- At-Risk Monitoring Form Snack/Supper
- At-Risk Monitoring Review Attestation Snack/Supper
- At-Risk Snack Guide CACFP School Age to 18
- Outside School Hours Care Center (OSHCC) Snack Program Guide
Trainings
- CACFP Basics & Round Table
- CACFP Meet your Reviewer
- CACFP Conducting Reviews Offsite During a Pandemic
- 2020 Wellness & Learning Conference - CACFP Workshop Recordings
Public News Release
Special Dietary Medical Statement Form
Application Materials, Memos and Resources
Contact
Patty Carignan, Program Specialist II
(603) 271-3862
patricia.j.carignan@doe.nh.gov