Forms
Annual Requirements for the USDA Non-School Special Milk Program
Daily Point-of-Service Count Template (Child OR Adult)
Daily Point-of-Service Count Template(Child AND Adult)
Eating and Feeding Evaluation Form
Creditable Non-Dairy Beverages (Fluid Milk Substitution)
Milk Waste and Inventory Sheet (Daily)
Milk Waste and Inventory Sheet (Weekly)
Milk Waste and Inventory Sheet (Monthly)
Permanent Agreement PI-1480-AP
PI-1409-NS-SMP Claim Worksheet for SMP (Special Milk Program)
Civil Rights Resources
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.
Civil Rights Training Attendance Sheet
News Media Release Regulations require that agencies annually make available to the media a public release announcing the availability of free milk to all attending children (no separate charge is imposed) without regard to race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity, and the procedure for filing a complaint. It does not have to be printed or broadcast; you need only make it available. You may, of course, include additional information.