Table of Contents
GM 1A: Income Statements
GM 2: Reimbursement Rates
GM 3A: Claims
GM 4: Procurement
GM 5A: Sponsoring Organizations
GM 6A: Enrollment
GM 8A: Civil Rights
GM 9A: Recordkeeping
GM 11: Financial Management
GM 12A: Meal Requirements
Meal Planning and Production Records
Crediting Foods
Menus
Meal Service Styles
Drinking Water
Food Safety
GM 12A: Special Dietary Needs
1A: Household Size-Income Statements and Determining Eligibility
Household Letter
Household Size-Income Statement
Household Size-Income Scale, July 1, 2020 - June 30, 2021
Household Size-Income Record
Household Size-Income Record
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2: CACFP Reimbursement – Effective July 1, 2020
2020-21 Reimbursement Calculation Worksheet
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3A: Claims
Instructions for Completing the Claim Form - Adult Care Component PI-1489-A
CACFP Claim Form - Adult Care Component PI-1489-A
Meal Edit Check (Sponsoring Organizations Only)
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4: Procurement and Vendor Agreements
CACFP Vendor Agreement to Provide Meals/Snacks - (Fillable PDF)
Vendor Meals Delivery Slip
Record of Potential Vendors Contacted ($10,000 - $250,000)
Methods of Procurement
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5A: Sponsoring Organization Requirements
Monitoring
CACFP Site Pre-operational Visit Form
CACFP Monitoring Form
Monitoring Tracking Form
Imminent Threat & Serious Deficiencies
Household Contact Procedure
Training
CACFP Training Checklist for Sponsoring Organizations
CACFP Training Agenda
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6A: Enrollment
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8A: Civil Rights
Annual Ethnic/Racial Data Collection Form
CACFP Information Sheet
Civil Rights Training
- Civil Rights Training PowerPoint
- Civil Rights Training Handout
- Civil Rights Training Attendance Sheet
Nondiscrimination statement with Complaint Filing Procedure
2020-2021 Statewide Media Release
New Agency Only
- Instructions for Letter to Minority and Grassroots Organizations
- Letter to Minority and Grassroots Organizations
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9A: Recordkeeping
Required Documents Checklist
Organizing CACFP Records
New Authorized Representative or Primary Staff Responsible for CACFP
Meal Count Forms
- Daily Participation and Meal Count Record
- Record-by-Name Meal Count Form
- Greater than Three Meals Record
CACFP Training Agenda
Electronic Storage of CACFP Records and Data - Policies and Procedures
Corrective Action Plan Form
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11: Financial Management
Independent Centers
How to Submit the Annual CACFP Financial Report
CACFP General Ledger for Independent Centers
CACFP Daily Time Log for Independent Centers
Sponsoring Organizations
How to Submit the Quarterly CACFP Financial Report
- Quarterly Financial Report for Sponsors of Affiliated Sites (paper form)
- Quarterly Financial Report for Sponsors of Unaffiliated Sites (paper form)
CACFP General Ledger for Sponsoring Organizations
CACFP Time Log for Sponsoring Organization
Financial Management Resources - FOR ALL AGENCIES:
Frequent CACFP Costs
USDA Assessing Costs in the CACFP
CACFP Financial Management Regulations (796-2, rev. 4)
Local Food Purchase Log
Donated Food Log
Other Resources - FOR ALL AGENCIES:
CACFP Appeal Procedures
CACFP Appeal Request Form
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12A: Meal Requirements
Meal Planning and Production Records
- Meal Requirements Calculator
- Food Buying Guide Calculator
- Production Records
- Breakfast, Lunch/Supper, Snack (Weekly)
- All Meals (Daily)
- Instructions for Production Records
Crediting Foods
- USDA Crediting Handbook for the CACFP
- New Creditable Foods
(Shelf-stable meat, poultry, and seafood products; Tempeh; Corn masa, masa harina, nixtamalized corn flour/cornmeal; Hominy; Popcorn; Coconut; Surimi seafood; Pasta products made of vegetable flour) - CACFP Reference Guide (Whole-grains, cereal, and yogurt)
Grains
- Wisconsin WIC Approved Whole Grains
- Whole Grain-Rich Flow Chart
- Grains Chart
- Cereals that Meet CACFP Requirements
- Is it a Grain-Based Dessert?
Meat and Meat Alternates
- Crediting Store-bought Combination Foods
- Creditable and Non-Creditable Cheese
- Cheese Slices and Nut/Seed Butters
- Local Meats, Poultry, and Eggs
- Tofu Recipes
Fruit and Vegetables
Menus
Meal Service Styles
Drinking Water
Food Safety
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12A: Special Dietary Needs
CACFP Special Dietary Needs Tracking Form
Special Dietary Needs and the CACFP
Determining if Meal Modifications Are Required Flowchart
Statement for Special Dietary Need Request Flowchart
Medical Statement Template
Creditable Non-Dairy Beverages
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