Child Care, Adult Care, & Outside School Hours Programs
Online Claim Manual (Child Care, Outside School Hours, Adult Care)
Child Care Component Claim Form - PI-1489
Adult Care Component Claim Form - PI-1489-A
Title XIX or XX Eligibility Documentation - PI-1485-AD
Training on how to compile and submit a claim is found in the CACFP E-Learning Course in the CACFP Claims lesson.
At-Risk Afterschool Program & Emergency Shelters
Online Claim Manual (At-Risk Afterschool Program & Emergency Shelters)
At-Risk Afterschool Program & Emergency Shelters Claim Form - PI-1489-B
Emergency Shelters: Training on how to compile and submit a claim is found in the CACFP E-Learning Course in the CACFP Claims-Emergency Shelters lesson.
At-Risk Afterschool Programs: Training on how to compile and submit a claim is found in the CACFP E-Learning Course in the At-Risk Program Reimbursement lesson.
Claim Form
An agency should only submit a claim form when:
- The agency needs to modify an existing claim that has already been "paid" or "processed".
- The agency is blocked from submitting online claims by DPI and needs to submit a claim to meet the 60 calendar day cut-off deadline.
- The claim deadline lands on a Saturday, Sunday, or Federal holiday. Please plan ahead to avoid claim form submissions.
To submit a claim form, email the original or modified claim as an attachment to cntfiscal@dpi.wi.gov.
Remember to submit a claim form for each program in which your agency participates.
Agencies should allow ample time prior to the 60 calendar day cut-off deadlines to submit a claim should there be unforeseen technical issues. A late claim cannot be paid with federal funds unless the DPI grants a one-time exception. Only one exception may be granted separately for School Meal Programs, Child and Adult Care Food Program (CACFP), and Summer Food Service Program once every 36 months. The Federal and State Grants Program of DPI must approve all exception corrective action plans.
Refer to the Claim Submission Deadlines webpage for more information.
For questions about this information, contact CNTfiscal@dpi.wi.gov or call 608.266.3509 then select option 4 for Fiscal or Claims.