Table of Contents
GM 1: Income Statements
GM 2: Reimbursement Rates
GM 3: Claim
GM 4: Procurement
GM 5: Sponsoring Organizations
GM 6: Enrollment
GM 8: Civil Rights
GM 9: Recordkeeping
GM 10: Household Contacts
GM 11: Financial
GM 12: Meal Requirements: 1-18 Years
Meal Planning and Production Records
Crediting Foods
Menus
Meal Service Styles
Drinking Water
Food Safety
GM 12: Infant Requirements
GM 12: Special Dietary Needs
1: Household Size-Income Statements and Determining Eligibility
Household Letter
Household Letter
Household Size-Income Statement
Household Size-Income Statement
Household Size-Income Scale, July 1, 2019 - June 30, 2020
Household Size-Income Record
Household Size-Income Record
Back to Table of Contents
2: CACFP Reimbursement – Effective July 1, 2019
2020-21 Reimbursement Calculation Worksheet
Back to Table of Contents
3: Claim Submission and Processing
Instructions for Completing the Reimbursement Claim Form - Child Care Component PI-1489
Child and Adult Care Food Program, Reimbursement Claim - Child Care Component PI-1489
Meal Edit Checks (Sponsoring Organizations Only)
Back to Table of Contents
4: Procurement Requirements for Purchasing and Vendor Agreements
CACFP Vendor Agreement to Provide Meals/Snacks - (Fillable PDF)
Attachment B – Record of Potential Vendors Contacted (<$250,000 - Small Purchase Method)
Addendum 1 – Summary of Required Procurement Methods
Back to Table of Contents
5: Sponsoring Organization Requirements
CACFP Site Pre-operational Visit Form
CACFP Monitoring Form
Monitoring Tracking Form
CACFP Training Checklist for Sponsoring Organizations
CACFP Training Agenda
Back to Table of Contents
6: Enrollment Requirements
Back to Table of Contents
8: Civil Rights Requirements
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
2019-2020 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 Requirements
Checklist of Required CACFP Documents for the Child Care Component
Organizing CACFP Records
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
Donated Food Log
Back to Table of Contents
10: Household Contact Requirements
Back to Table of Contents
11: Financial Management Requirements
Independent Centers
Annual CACFP Financial Report Training - (Independent Centers)
PI-1463 - paper copy of Annual CACFP Financial Report
CACFP General Ledger for Independent Centers
CACFP Labor Sheet for Independent Centers (electronic copy)
CACFP Labor Sheet for Independent Centers (paper copy)
Sponsoring Organizations
Quarterly CACFP Financial Report Training - (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
CACFP 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:
Appeal Procedures
Appeal Request Form (PI-1453)
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: Infant Requirements
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