Table of Contents
GM 1: Income Statements
GM 2: Reimbursement Rates
GM 3: Claims
GM 4: Procurement
GM 5: Sponsoring Organizations
GM 6: Enrollment
GM 8: Civil Rights
GM 9: Recordkeeping
GM 11: Financial Management
GM 12: Meal Requirements: 1-18 Years
Meal Planning and Production Records
Crediting Foods
Menus
Meal Service Styles
Drinking Water
Food Safety
GM 12: Infants
GM 12: Special Dietary Needs
1: 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
Back to Table of Contents
2: CACFP Reimbursement – Effective July 1, 2020
2020-21 Reimbursement Calculation Worksheet
Back to Table of Contents
3: Claims
Instructions for Completing the Claim Form - Child Care Component PI-1489
CACFP Claim Form - Child Care Component PI-1489
Meal Edit Checks (Sponsoring Organizations Only)
Back to Table of Contents
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
Back to Table of Contents
5: 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
Back to Table of Contents
6: Enrollment
Back to Table of Contents
8: Civil Rights
Building for the Future
Annual Ethnic/Racial Data Collection Form
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
Back to Table of Contents
9: Recordkeeping
Required Documents Checklist
Organizing CACFP Records
New Authorized Representative or Primary Staff Responsible for CACFP
Meal Count Forms
- Meal Count Form (Three or Less Meals)
- Meal Count Form (B, L, PM Snack)
- Greater Than Three Meals Record
CACFP Training Agenda
Wisconsin WIC Program Factsheet
Electronic Storage of CACFP Records and Data - Policies and Procedures
Corrective Action Plan Form
Back to Table of Contents
11: Financial Management
Independent Centers
How to Submit the Annual CACFP Financial Report
General Ledger for Independent Centers
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)
General Ledger for Sponsoring Organizations
Daily Time Log for Sponsoring Organizations
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
Back to Table of Contents
12: Meal Requirements: 1-18 Years
CACFP Meal Pattern (Ages 1-18)
Appendix A: Alternate Protein Products
Meal Planning and Production Records
- Meal Requirements Calculator
- Food Buying Guide Calculator
- Serving Size Guide
- 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
- Menu Checklist
- Menu Template - Three or Less Meals
- Menu Template - Greater Than Three Meals
- Sample Menus
Meal Service Styles
Drinking Water
Food Safety
Back to Table of Contents
12: Infants
Infant Meal Pattern
CACFP Infant Recordkeeping Requirements
Infant Menu
Infant Meal Recordkeeping
Use the Infant Meal Form or Infant Meal Records. Do not use both.
Infant Meal Forms
Infant Meal Records (Document actual foods served)
Foods for Infants
Crediting Infant Foods
USDA Feeding Infants for CACFP Guide
Infant Developmental Readiness Handout
Make Your Own Infant Food
List of Exempt Formulas
Back to Table of Contents
12: 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
Back to Table of Contents