Guidance Memorandum #1A: CACFP Requirements for Household Size-Income Statements
Household Letter
Household Letter
Household Size-Income Statement
Household Size-Income Statement
Household Size-Income Scale, July 1, 2018 - June 30, 2019
Household Size-Income Record
Household Size-Income Record
Household Size Income Record Reminders
Monthly HSIS/HSIR Checklists
How to Use the Household Member Signature Date
Guidance Memorandum #3A: CACFP Claim Submission and Processing
Instructions for Completing the Reimbursement Claim Form - Adult Care Component, PI-1489-A
Child and Adult Care Food Program, Reimbursement Claim - Adult Care Component, PI-1489-A
Meal Edit Check Sample Form (Sponsoring Organizations Only)
Guidance Memorandum #4: CACFP Procurement Requirements – For Purchasing and Vendor Agreements to Provide Meals/Snacks
CACFP Vendor Agreement to Provide Meals/Snacks - (Fillable PDF)
Attachment B – Record of Potential Vendors Contacted (<$150,000 - Small Purchase Method)
Addendum 1 – Summary of Required Procurement Methods
Guidance Memorandum #6A: Enrollment Requirements
Guidance Memorandum #8A: Civil Rights Requirements for the CACFP
Annual Ethnic/Racial Data Collection Form
CACFP Information Sheet
Civil Rights Training
Civil Rights Training PowerPoint
Civil Rights Training Hand-out
Civil Rights Training Attendance Sheet
Non-Discrimination Statement with Complaint Filing Procedure
2018-2019 Statewide Media Release
New Agency Only
Instructions for Letter to Minority and Grassroots Organizations
Letter to Minority and Grassroots Organizations
Guidance Memorandum #9A: Recordkeeping Requirements for the Child and Adult Care Food Program
Permanent Agreement/Policy Statement – PI-1486-AP
Daily Participation and Meal Count Record
Record-by-Name Meal Count Form
Greater than Three Meals Record
Sample Training Agenda
Electronic Storage of CACFP Records and Data - Policies and Procedures
Donated Food Log
Organizing CACFP Records
Guidance Memorandum #11: Financial Management for Food Service Operations
Quarterly CACFP Financial Report Training - (Sponsoring Organizations ONLY)
Annual CACFP Financial Training - (Independent Centers ONLY)
Financial Management Forms/Templates:
Independent Centers:
PI-1463 - paper copy of Annual CACFP Financial Report
Sample General Ledger for Independent Centers
CACFP Labor Sheet for Independent Centers (electronic copy)
CACFP Labor Sheet for Independent Centers (paper copy)
Sponsoring Organizations:
PI-1463-A - paper copy of Quarterly CACFP Financial Report for Sponsors of Affiliated Centers
PI-1463-C - paper copy of Quarterly CACFP Financial Report for Sponsors of Unaffiliated Centers
Sample General Ledger for Sponsoring Organizations
CACFP Labor Sheet for Sponsoring Organizations (electronic copy)
CACFP Labor Sheet for Sponsoring Organizations (paper copy)
Financial Management resources - FOR ALL AGENCIES
Frequent CACFP Costs
Assessing Costs in the CACFP
FNS Instruction 796-2 (Revision 4) as issued by USDA
FNS Instruction 796-2 (Revision 4) with highlighted changes
Summary of Allowable CACFP Costs
Local Food Purchase Log
Other Resources - FOR ALL AGENCIES:
GM 12 is currently being revised and will be re-posted soon
Adult Day Care Center Meal Pattern
Production Records
Production Record Instructions
Weekly Production Records-Breakfast/Snack and Lunch/Supper
Daily Production Record
Meal Planning Tools
Adult Day Care Center Meal Requirements Calculator/Production Records
Food Buying Guide Calculator
Adult Day Care Center Grains Chart
Creditable and Non-Creditable Cheese
Store-bought Combination Foods
Local Meats, Poultry, and Eggs
Additional Creditable Foods
At-Risk Handout (OVS, Share Tables, Taking a Food Component Off-site)
Menu Checklist
Special Dietary Needs
CACFP Special Dietary Needs Tracking Form
Medical Statement Flow Chart for Adult Care Centers
Claiming Meals with Special Dietary Needs Flow Chart
Non-Dairy Beverage Calculator