Non-School SMP Resource Materials and Forms

Forms

Civil Rights Training Log

Compliance Checklist

Daily Point-of-Service Template (Child or Adult)

Daily Point-of-Service Template - Fillable PDF (Child or Adult)

Daily Point-of-Service Template (Child and Adult)

Daily Point-of-Service Template - Fillable PDF (Child and Adult)

Eating and Feeding Evaluation Form

Medical Statement Template

Milk Record Workbook

Milk Waste and Inventory Sheet

News Media Release

Permanent Agreement PI-1480-AP

PI-1409-NS-SMP Claim Worksheet for SMP (Special Milk Program)

Race and Ethnicity Data Form

Temperature and Cleaning Log Prototype

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 PDF

Civil Rights Training PowerPoint

Creditable Non-Dairy Beverages (Fluid Milk Substitution)

Nondiscrimination statement with Complaint Filing Procedure