CACFP Application Materials

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CACFP Application Materials

The items below are for SAU/RA use only. These items should not be uploaded to the CACFP application.

• Tips for your CACFP Application
• Announced/Unannounced Monitor Review Visit Schedule
• Free and Reduced Policy Statement
  • Pricing
  • Non-Pricing
  • Sample Letter- Approved
  • Sample Letter-Denied
• Grassroots Sample Letter
• Meal Benefit Income Eligibility Form
  • Adults
  • Child
• Public Release
  • Non-Pricing
  • Pricing
  • Family Day Care Home
• Unaffiliated CACFP Application and Agreement

CACFP Application Materials for FY2025

The items below are required to be uploaded to the Fiscal Year (FY) 2025 Child and Adult Care Food Program (CACFP) application.  

Please note that the CACFP application needs to be fully approved prior to the first day of meal service for FY2025 or claims for reimbursement can be affected.

• CACFP Application Checklist
• Attestation of Renewal
• Management Plan
• Description Changes and Publicly Funded Programs
• Permanent Agreement CACFP - FY25
• VCA Questionnaire
• Procurement Policy - Upload the Institutions Policy
• Code of Conduct Policy - Upload the Institutions Policy
• Current Child Care/Adult Care License

Additional Documentation

The items below only need to be attached if applicable to the RA

• Alternative License Exemption Forms
  • Family Day Care Home or Child Care Center
  • Outside School Hours Child Care
• At-Risk
  • At-Risk Snack
  • At-Risk Supper
  • At-Risk Monitoring Attestation- for Schools
• New Sponsors or Updates Needed
  • Board of Directors List
  • Board of Directions Sample Letter
  • Chair/Executive Director/Owner's Form
  • Outside Employment Policy - Upload the Institutions Policy
  • Principal Form
  • Program Marketing Expansion Plan - Upload the Institutions Plan
  • Free and Reduced Policy Statement
    • Pricing
    • Non-Pricing
  • Food Service Management Company Form
  • Budget Worksheet Backup Documentation
    • B - Mileage, Meals, and Lodging Allowance
    • C - Office Supplies
    • D - Printing
    • E - Office Equipment 
    • H - Telephone
    • K - Consulting Services
    • M - FDCH Provider/Center Training
    • N - Sponsor/Center Staff Training and Development
    • O - Insurance
    • P - Advertising
    • 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.