CACFP Application Materials
Application materials and information related to the Child and Adult Care Food Program
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CACFP Application Materials
- Application Checklist
- Tips for your CACFP Application
- Alternative Approval Application - CCC or FDCH
- Alternative Approval Application - OSHCC
- Announced/Unannounced Monitor Review Visit Schedule
- Application Signature Certification Page
- At-Risk NSLP-CACFP Application Attachment U
- At-Risk NSLP-CACFP Application Attachment D
- At-Risk Snack Program Guide - CACFP - School Age through 18
- At-Risk Monitoring Attestation
- Board of Directors List - new form needs to be completed every year
- Board of Directors Letter - talks about CACFP
- Current Facility License Listing Form - must include yearly with application (filled out yearly)
- CACFP Management Plan - updated yearly and attached
- Chair/Executive Director/Owner's Form (Executive Director every year)
- Civil Rights Approval Questions (form filled out and attached)
- Description Changes & Publicly Funded Programs (updated every year)
- Food Service Management Company Form Attachment H
- Free & Reduced Policy Statement - Non-Pricing Program
- Free & Reduced Policy Statement - Pricing Program
- Grassroots Sample Letter - Attach your letter on Letterhead
- Meal Benefit Income Eligibility Form Adults
- Meal Benefit Income Eligibility Form Child
- Meal Benefit Income Eligibility Form Instructions
- Outside Employment Policy -
- Permanent Agreement CACFP - Will need new one this year
- Principal Forms (Executive Director every year and any new Board Members)
- Program Authorization Form
- Program Marketing Expansion Plan - for all Sponsoring Organizations
- Procurement and Code of Conduct Policy & Procedures - Needs to be Attached
- Public Release - Non-Pricing Program Needs to be sent to local newspaper, but you do not need to pay for it.
- Public Release - Pricing Program Needs to be sent to local newspaper, but you do not need to pay for it.
- Public Release - Family Day Care Home Needs to be sent to local newspaper, but you do not need to pay for it.
- Sample Letter - Approval of Free or Reduced Price Meals
- Sample Letter - Denial of Free or Reduced Price Meals
- Unaffiliated CACFP Application & Agreement - FOR NEW ONLY
- Viability, Capability, Accountability Questionnaire
Administrative Budget Worksheets for all Facilities
- B - Mileage, Meals & Lodging Allowance
- C - Office Supplies
- D - Printing
- E - Office Equipment
- H - Telephone
- K - Consultant Services
- M - FDCH Provider/Center Training
- N - Sponsor/Center Staff Training and Development
- O - Insurance
- P - Advertising and Public Relations Costs
- Q - Licensing Costs
- R - Membership, Subscriptions and Professional Organization Activities
- S - Indirect Costs
- T - Miscellaneous Costs
- W - Unaffiliated CCC-FDCH Budget Sheet
Equipment List NH DOE Prior Approval Form
USDA Nondiscrimination Statement / Food & Nutrition Services
This Institution is an Equal Opportunity Provider.
Esta institución es un proveedor que ofrece igualdad de oportunidades.