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

Household Size-Income Statement

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

Household Size-Income Scale, July 1, 2022 - June 30, 2023

Household Size-Income Record

Household Size Income Record Instructions

Monthly HSIS/HSIR Checklists

2: Reimbursement Rates

GM 2: CACFP Reimbursement – Effective July 1, 2022

2022-23 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 ($10,000 - $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. USDA updated the And Justice for All poster with the updated nondiscrimination statement. DPI has ordered the new posters and once they are received , the DPI will distribute them to our participating agencies. Continue to post the 2019 posters or print this 2022 poster to use until the new posters arrive.

Race and Ethnicity Data Form

Nondiscrimination statement with Complaint Filing Procedure

2022-2023 Statewide Media Release

CACFP Information Sheet

Civil Rights Training

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