Adult Care Guidance Memorandums

Guidance Memorandums serve as the CACFP Instruction Manual in Wisconsin. Click on the tabs below to access each Guidance Memorandum, forms, and resources.

For training on specific CACFP topics go to the CACFP E-Learning Course.

Refer to the Translated Resources webpage to view some forms in Spanish and Hmong.

Corrective Action Plans

Corrective Action Plans Webinar Handout with Notes

Corrective Action Plan Form

Sample Corrective Action Plan Form

1: Household Size Income Statements and Income Record

GM 1: Household Size-Income Statements and Determining Eligibility

Household Letter (Spanish- Updated Version Coming Soon) (Hmong- Updated Version Coming Soon)

Household Size-Income Statement (Spanish) (Hmong)

Instructions for Determining Income Statements
Income Eligibility Calculator
How to Use the Household Member Signature Date

Household Size-Income Scale, July 1, 2025 - June 30, 2026

Household Size-Income Record

Household Size Income Record Instructions

2: Reimbursement Rates

GM 2: CACFP Reimbursement – Effective July 1, 2024

2024-25 Reimbursement Calculation Worksheet

3: Claims

GM 3: Claims

Claim Form (Adult Care)

Claim Form Instructions (Child Care, Adult Care, & Outside School Hours)

Online Claim Manual (Child Care, Outside School Hours, Adult Care)

Meal Edit Check (Sponsoring Organizations Only)

Meal Edit Checks - 2 Sites (Sponsoring Organizations Only)

Monthly Claim Checklist

4: Procurement and Vendor Agreements

GM 4: Procurement and Vendor Agreements

CACFP Vendor Agreement to Provide Meals/Snacks - (Fillable PDF)

Vendor Meals Delivery Slip

Record of Potential Vendors Contacted (up to $250,000)

Methods of Procurement

5: Sponsoring Organizations

GM 5: Sponsoring Organization Requirements

Monitoring

Preoperational Visit Form

Site Review Form

Monitoring Tracking Form

Imminent Threat & Serious Deficiencies

Household Contact Procedure

Training

Training Resources for Sponsoring Organizations (Adult Care)

CACFP Training Checklist

6: Enrollment

And Justice for All Poster. Currently, the And Justice for All posters are not available for order through USDA. Guidance will be provided when the posters are available. Agencies should continue to display the 2019 or 2022 And Justice for All poster. Posters that display the Statue of Liberty are out of compliance and are not acceptable to post.

Race and Ethnicity Data Form

Nondiscrimination statement with Complaint Filing Procedure

2024 - 2025 Statewide Media Release

CACFP Information Sheet

Civil Rights Training

Civil Rights Training (Spanish) (Hmong)

Civil Rights Training Handout

Civil Rights Training Attendance Sheet

Minority and Grassroots (New Agency Only)

Instructions for Letter to Minority and Grassroots Organizations

Letter to Minority and Grassroots Organizations

9: Recordkeeping