Special Nutrition Programs: Forms

Special Nutrition Programs

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CACFP Forms Fiscal Year 2011

Income Eligibility Forms

CAC 11 Child Eligibility Application (PDF, 32 KB)
CAC 11 (Spanish) Solicitud para poder integrar en el programa de comidas para niños (PDF, 32 KB)
CAC 11A Adult Eligibility Application (PDF, 33 KB)
CAC 11A (Spanish) Solicitud para poder integrar en el programa de comidas para adultos (PDF, 32 KB)
CAC 11B Children Enrolled in Family Day Care Homes (PDF, 33 KB)
CAC 11B (Spanish) Niños inscritos en guarderías en casas particulares (PDF, 34 KB)
CAC 11C Provider's Income and Provider's Own Children (PDF, 31 KB)
CAC 11C (Spanish) Ingreso del proveedor y de los Hijos del proveedor (PDF, 33 KB)

CACFP Forms Fiscal Year 2010 (Application, Claims, Income Eligibility, Review, Record-Keeping)

Application Forms

Large Sponsoring Institutions

2010 Renewal Agreement Letter Large Sponsoring Orgainizations (PDF, 143 KB)
Administrative Budget for Sponsoring Organizations - Centers (PDF, 74 KB)
Administrative Budget for Sponsoring Organizations - Homes (PDF, 66 KB)
Advance Payment Request (PDF, 19 KB)
Agreement between Large Sponsoring Organization and Facility (PDF, 50 KB)
Agreement between Sponsoring Organizations and Day Care Home Provider (PDF, 87 KB)
Attachment A - General Terms and Conditions - School Food Authority (PDF, 94 KB)
Attachment B - Certifications - School Food Authority (PDF, 39 KB)
Building for the Future - English (PDF, 44 KB)
Building for the Future - Spanish (PDF, 46 KB)
CACFP Checklist Large Sponsoring Organizations (PDF, 32 KB)
CACFP Fact Sheet for Renewing Sponsoring Organizations (PDF, 65 KB)
Center Application (PDF, 113 KB)
Certification of Eligibility for Title XIX-XX Institutions (PDF, 63 KB)
Certification of Single Exclusive CACFP Agreement (PDF, 54 KB)
Certification Regarding Criminal Convictions (PDF, 59 KB)
Certification Regarding Other Publicly Funded Programs (PDF, 67 KB)
Certifications - Attachment B (PDF, 39 KB)
Certifications - Food Service Management Company Attachment B (PDF, 39 KB)
Conflict of Interest Policy - Attachment E (PDF, 78 KB)
Day Care Home Application (PDF, 98 KB)
Facility Renewal Certification (PDF, 81 KB)
Food Service Contract Public Schools (PDF, 59 KB)
Food Service Management Contract (PDF, 99 KB)
General Terms and Conditions - Food Service Management Company Attachment A (PDF, 42 KB)
Information on Owners and Principals (PDF, 73 KB)
Institution Application (PDF, 98 KB)
Licensing Certification (PDF, 79 KB)
Local Government General Terms and Conditions - Attachment A (PDF, 94 KB)
Management Plan - Sponsoring Organization (PDF, 117 KB)
Media Release for Sponsoring Organizations of Centers (PDF, 80 KB)
Media Release for Sponsoring Organizations of Day Care Homes, Emergency Shelters, and At Risk Center (PDF, 61 KB)
No Overdue Tax Debt and Conflict of Interest-Individual Sub Grantees (PDF, 90 KB)
Notice of Certain Reporting and Audit Requirements - Attachment C (PDF, 129 KB)
Outside Employment Policy (PDF, 53 KB)
Participant Infomation Form for New Centers (PDF, 58 KB)
Preaward Compliance (PDF, 59 KB)
Private General Terms and Conditions - Attachment A (PDF, 99 KB)
Sponsor Training Certification (PDF, 64 KB)
Sponsored Centers Budget (PDF, 15 KB)
State Departments General Terms and Conditions - Attachment A (PDF, 69 KB)
State Grant Certification No Overdue Tax Debts - Attachment D (PDF, 8 KB)
Statement of Authority (PDF, 16 KB)
Truth of Applications and Names and Addresses (PDF, 13 KB)

Small Sponsoring Institutions

2010 Application Update Letter for Small Sponsoring Organizations (PDF, 142 KB)
Administrative Budget for Sponsoring Organizations - Centers (PDF, 74 KB)
Administrative Budget for Sponsoring Organizations - Homes (PDF, 66 KB)
Advance Payment Request (PDF, 19 KB)
Agreement between Small Sponsoring Organizations and Facility (PDF, 50 KB)
Agreement between Sponsoring Organizations and Day Care Home Provider (PDF, 87 KB)
Attachment A - General Terms and Conditions - School Food Authority (PDF, 94 KB)
Attachment B - Certifications - School Food Authority (PDF, 39 KB)
CACFP Checklist Small Sponsoring Organizations (PDF, 32 KB)
CACFP Fact Sheet for Participating Small Sponsoring Organizations (PDF, 26 KB)
Center Application (PDF, 113 KB)
Certifications - Food Service Management Company Attachment B (PDF, 39 KB)
Conflict of Interest Policy - Attachment E (PDF, 78 KB)
Certifications - Attachment B (PDF, 39 KB)
Certification of Eligibility for Title XIX-XX Institutions (PDF, 63 KB)
Certification of Single Exclusive CACFP Agreement (PDF, 54 KB)
Day Care Home Application (PDF, 98 KB)
Facility Renewal Certification (PDF, 81 KB)
Food Service Contract Public Schools (PDF, 59 KB)
Food Service Management Contract (PDF, 99 KB)
General Terms and Conditions - Food Service Management Company Attachment A (PDF, 42 KB)
Information on Owners and Principals (PDF, 73 KB)
Institution Application (PDF, 98 KB)
Licensing Certification (PDF, 79 KB)
Local Government General Terms and Conditions - Attachment A (PDF, 94 KB)
Media Release for Sponsoring Organizations of Centers (PDF, 80 KB)
Media Release for Sponsoring Organizations of Day Care Homes, Emergency Shelters, and At Risk Center (PDF, 61 KB)
No Overdue Tax Debt and Conflict of Interest-Individual Sub Grantees (PDF, 90 KB)
Notice of Certain Reporting and Audit Requirements - Attachment C (PDF, 129 KB)
Participant Infomation Form for New Centers (PDF, 58 KB)
Preaward Compliance (PDF, 59 KB)
Private General Terms and Conditions - Attachment A (PDF, 99 KB)
Sponsor Training Certification (PDF, 64 KB)
Sponsored Centers Budget (PDF, 15 KB)
State Departments General Terms and Conditions - Attachment A (PDF, 69 KB)
State Grant Certification No Overdue Tax Debts - Attachment D (PDF, 8 KB)
Statement of Authority (PDF, 16 KB)
Truth of Applications and Names and Addresses (PDF, 13 KB)

Independent Institutions

2010 Application Update Letter Independent Institutions (PDF, 153 KB)
Advance Payment Request (PDF, 19 KB)
Attachment A - General Terms and Conditions - School Food Authority (PDF, 94 KB)
Attachment B - Certifications - School Food Authority (PDF, 39 KB)
CACFP Checklist Independent Institutions (PDF, 29 KB)
CACFP Fact Sheet for Participating Independent Institutions (PDF, 25 KB)
Center Application (PDF, 113 KB)
Certifications - Attachment B (PDF, 39 KB)
Certifications - Food Service Management Company - Attachment B (PDF, 39 KB)
Certification of Eligibility for Title XIX-XX Institutions (PDF, 63 KB)
Certification of Single Exclusive CACFP Agreement (PDF, 54 KB)
Conflict of Interest Policy - Attachment E (PDF, 78 KB)
Food Service Contract Public Schools (PDF, 59 KB)
Food Service Management Contract (PDF, 99 KB)
General Terms and Conditions - Food Service Management Company - Attachment A (PDF, 42 KB)
Information on Owners and Principals (PDF, 73 KB)
Institution Application (PDF, 98 KB)
Local Government General Terms and Conditions - Attachment A (PDF, 94 KB)
Licensing Certification (PDF, 11 KB)
Media Release (PDF, 27 KB)
Media Release Emergency Shelters and At-Risk Centers (PDF, 12 KB)
No Overdue Tax Debt and Conflict of Interest-Individual Sub Grantees (PDF, 90 KB)
Notice of Certain Reporting and Audit Requirements - Attachment C (PDF, 129 KB)
Preaward Compliance (PDF, 59 KB)
Private General Terms and Conditions - Attachment A (PDF, 99 KB)
State Departments General Terms and Conditions - Attachment A (PDF, 69 KB)
State Grant Certification No Overdue Tax Debts - Attachment D (PDF, 8 KB)
Statement of Authority (PDF, 16 KB)
Truth of Applications and Names and Addresses (PDF, 13 KB)

Claims

Child Care Center Monthly Claim Form (PDF, 155 KB)
Child Care Center Monthly Claim Form Instructions (PDF, 28 KB)
Adult Care Centers Monthly Claim Form (PDF, 94 KB)
Adult Care Centers Monthly Claim Form Instructions (PDF, 28 KB)
Day Care Homes Monthly Claim Form (PDF, 117 KB)
Day Care Homes Monthly Claim Form Instructions (PDF, 31 KB)
Sponsored Child Care Centers Monthly Claim Form (PDF, 88 KB)
Sponsored Child Care Centers Monthly Claim Form Instructions (PDF, 27 KB)
Sponsored Adult Care Centers Monthly Claim Form (PDF, 87 KB)
Sponsored Adult Care Centers Monthly Claim Form Instructions (PDF, 27 KB)
Sponsoring Organization Financial Report (PDF, 22 KB)

Income Eligibility Forms

CAC 11 Child Eligibility Application (PDF, 57 KB)
CAC 11 (Spanish) Solicitud para poder integrar en el programa de comidas para niños (PDF, 124 KB)
CAC 11A Adult Eligibility Application (PDF, 56 KB)
CAC 11A (Spanish) Solicitud para poder integrar en el programa de comidas para adultos (PDF, 110 KB)
CAC 11B Children Enrolled in Family Day Care Homes (PDF, 96 KB)
CAC 11B (Spanish) Niños inscritos en guarderías en casas particulares (PDF, 70 KB)
CAC 11C Provider's Income and Provider's Own Children (PDF, 64 KB)
CAC 11C (Spanish) Ingreso del proveedor y de los Hijos del proveedor (PDF, 128 KB)

Review Forms

CAC 15 Center Review Form (PDF, 145 KB)
CAC 15 Home Review Form (PDF, 144 KB)
CAC 15A 3-Year Center Review Form (PDF, 181 KB)
Instructions for SO 3 Year Center Review (PDF, 119 KB)
Instructions for SO Center Review (PDF, 28 KB)
Instructions for SO Day Care Home Review (PDF, 32 KB)
Milk Reconciliation (Excel, 58 KB)
Milk Reconciliation (PDF, 22 KB)
Milk Reconciliation Instructions (PDF, 10 KB)
Space Allocation Worksheet (Excel, 214 KB)

Record-Keeping Forms

Adult Participant Enrollment/Information Form (PDF, 15 KB)
Cash Receipts and Disbursements Journal (Excel, 28 KB)
Daily Meal Count for Adults (PDF, 17 KB)
Daily Meal Count for Adults Instructions (PDF, 27 KB)
Daily Meal Count Record by Name (PDF, 30 KB)
Daily Meal Count Record by Name Ages 1-2 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 3-5 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 6-12 Years (PDF, 32 KB)
Daily Meal Count Record for Children (PDF, 17 KB)
Daily Menu - CACFP (PDF, 164 KB)
Daily Menu - Meal Count for Infants (PDF, 155 KB)
CACFP Enrollment Form (En Espanol) (PDF, 82 KB)
CACFP Enrollment Form (PDF, 67 KB)
CACFP Enrollment Form (Spanish) - Formulario para inscripción de participantes (PDF, 67 KB)
Free, Reduced, or Denied Monthly Worksheet (PDF, 9 KB)
Medical Statement for CACFP Participants Requiring Meal Modifications (PDF, 18 KB)
Provision of Infant Formula (PDF, 37 KB)
Time Record (Monthly) (Excel, 27 KB)
Time Record (Weekly - Biweekly) (Excel, 21 KB)
Worksheet for Tiering of Day Care Homes (PDF, 10 KB)

SFSP Forms Fiscal Year 2010 (Operations, Record-Keeping, Monitoring, Outreach, Regulations and FNS Instructions and Guidance)

Applications

Operations

SFSP Site Level Claim Reimbursement (PDF, 37 KB)
Sponsor Claim Checklist (PDF, 70 KB)
ADA Amendments Transmittal (PDF, 15 KB)
Site Addition-Deletion Transmittal (PDF, 15 KB)
Change in Meal Service Transmittal (PDF, 14 KB)
Field Trip Approval (PDF, 16 KB)
Year-End Worksheet (Excel, 25 KB)

Record-Keeping Forms

Bulk Food Delivery Transfer Receipt (PDF, 14 KB)
Daily Meal Count Form (PDF, 26 KB)
Daily Meal Count Record by Name Ages 1-2 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 3-5 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 6-12 Years (PDF, 31 KB)
Daily Meal Count Record for Children (PDF, 17 KB)
Delivery Receipt Shelf Stable Meals (PDF, 19 KB)
Meal Count Worksheet for Camps (PDF, 21 KB)
Medical Statement Requiring Meal Modifications (PDF, 18 KB)
Mileage Record (PDF, 12 KB)
Monthly Meal Count Summary (SFSP-13) (PDF, 9 KB)
Monthly Milk Recycled (PDF, 12 KB)
Sponsor Site Agreement (PDF, 8 KB)
Time Sheet – Staff (PDF, 13 KB)
Unitized Food Delivery Transfer Receipts (PDF, 11 KB)
Weekly Meal Count Summary (SFSP-12; PDF, 9 KB)
Child Eligibility Application English (PDF, 36 KB)
Daily Menu Production Record (PDF, 18 KB)
Ethnic and Racial Data Form (PDF, 10 KB)
Cash Disbursement Journal (Excel, 37 KB)

Monitoring Forms

Sponsor Site Pre-Operational Visit Review (PDF, 27 KB)
Sponsor Site Visit Review Form - First Week (PDF, 12 KB)
Sponsor Monitor Site Review Form - Four Week (PDF, 22 KB)

Outreach

Power Panther Open Site Flyers (PDF, 364 KB)
Power Panther Open Site Posters (PDF, 467 KB)
Becoming A SFSP Site (PDF, 36 KB)

Regulations and FNS Instructions and Guidance

7 CFR 225 Summer Food Service Program Regulations (link opens in new window)
FNS Civil Right Instructions 113-1 (PDF, 232 KB)
FNS Financial Management Instructions 796-4 (PDF, 302 KB)
Crediting Food Guide (PDF, 474 KB)
SFSP Handbooks (link opens in new window)

CACFP Forms Fiscal Year 2009 (Application, Claims, Income Eligibility, Review, Record-Keeping)

Application Forms

Application Process Checklist for Independent Centers (New) (PDF, 37 KB)
Application Process Checklist for Independent Centers (Renewal) (PDF, 34 KB)
Application Process Checklist for Sponsoring Organizations (New) (PDF, 42 KB)
Application Process Checklist for Sponsoring Organizations (Renewal) (PDF, 42 KB)
Attachment A: General Terms and Conditions (Local Government) (PDF, 30 KB)
Attachment A: General Terms and Conditions (Local Government - School Food Authority) (PDF, 31 KB)
Attachment A: General Terms and Conditions (Private) (PDF, 42 KB)
Attachment A: General Terms and Conditions (Private - Food Service Management) (PDF, 42 KB)
Attachment A: General Terms and Conditions (State Departments) (PDF, 20 KB)
Attachment B: Certification Regarding Drug-Free Workplace Requirements (PDF, 39 KB)
Attachment B: Certification Regarding Drug-Free Workplace Requirements (Food Service Management) (PDF, 39 KB)
Attachment C: Notice of Certain Reporting and Audit Requirements (PDF, 45 KB)
Attachment D: No Overdue Tax (PDF, 13 KB)
Attachment D: No Overdue Tax (Sub-Grantees) (PDF, 16 KB)
Attachment E: Conflict of Interest (PDF, 21 KB)
Building for the Future Flier (PDF, 44 KB)
CAC 1C Certification of Eligibility for Title XIX, or XX Institutions or Free and Reduced Priced Participants (PDF, 25 KB)
CAC 2A Advance Payment Request (PDF, 19 KB)
CAC 7 Center Application (PDF, 101 KB)
CAC 8B Day Care Home Provider Application (PDF, 162 KB)
CAC 8C Agreement Between Small Sponsoring Organization and Facility (PDF, 50 KB)
CAC 8C Agreement Between Large Sponsoring Organization and Facility (PDF, 47 KB)
CAC 8D Provider Agreement Permanent (PDF, 67 KB)
CAC 8G Management Plan - Independent Center (PDF, 66 KB)
CAC 8G Management Plan - SO new (PDF, 105 KB)
CAC 16 Agreement to Furnish Food Service (Public Schools) (PDF, 59 KB)
CAC 17 Child and Adult Care Food Program Agreement for Food Service (PDF, 61 KB)
CAC 18 Statement of Authority (PDF, 15 KB)
Certification Regarding Criminal Convictions (PDF, 19 KB)
Certification Regarding Other Publicly Funded Programs (PDF, 17 KB)
Facility Renewal Certification (PDF, 20 KB)
Fact Sheet for New Institutions (PDF, 27 KB)
Fact Sheet for New Sponsoring Organizations (PDF, 27 KB)
Fact Sheet for Renewing Institutions (PDF, 25 KB)
Fact Sheet for Renewing Sponsoring Organizations (PDF, 27 KB)
Free and Reduced Priced Policy Statement for Independent Institutions (PDF, 11 KB)
Free and Reduced Priced Policy Statement for Sponsoring Organizations of Day Care Homes (PDF, 12 KB)
Institution Application (PDF, 75 KB)
Licensing Certification for Independent Centers (PDF, 11 KB)
Licensing Certification for Sponsoring Organizations (PDF, 19 KB)
Media Release (PDF, 27 KB)
Media Release for Sponsoring Organizations of Day Care Homes (PDF, 12 KB)
Nondiscrimination Policy (PDF, 12 KB)
Outside Employment Policy (PDF, 11 KB)
Participant Eligibility Information for New Institutions (PDF, 22 KB)
Preaward Compliance (PDF, 24 KB)
Sponsor Training Certification (PDF, 21 KB)
Truth of Applications and Names and Addresses (PDF, 12 KB)
CAC 20 Add, Drop. Change Form (PDF, 73 KB)
CAC 20 Add, Drop, Change Form Instructions (PDF, 72 KB)

En Español

Construyendo Para El Futuro (PDF, 46 KB)

Claims

Child Care Center Monthly Claim Form (PDF, 100 KB)
Child Care Center Monthly Claim Form Instructions (PDF, 22 KB)
Adult Care Centers Monthly Claim Form (PDF, 84 KB)
Adult Care Centers Monthly Claim Form Instructions (PDF, 22 KB)
Day Care Homes Monthly Claim Form (PDF, 129 KB)
Day Care Homes Monthly Claim Form Instructions (PDF, 26 KB)
Sponsored Child Care Centers Monthly Claim Form (PDF, 100 KB)
Sponsored Child Care Centers Monthly Claim Form Instructions (PDF, 22 KB)
Sponsored Adult Care Centers Monthly Claim Form (PDF, 84 KB)
Sponsored Adult Care Centers Monthly Claim Form Instructions (PDF, 22 KB)
Sponsoring Organization Financial Report (PDF, 22 KB)

Income Eligibility Forms

CAC 11 Child Eligibility Application (PDF, 57 KB)
CAC 11 Child Eligibility Application (SOLICITUD PARA PODER INTEGRAR EN EL PROGRAMA DE COMIDAS PARA NIÑOS) (PDF, 50 KB)
CAC 11A Adult Eligibility Application (PDF, 57 KB)
CAC 11A Adult Eligibility Application (SOLICITUD PARA PODER INTEGRAR EN EL PROGRAMA DE COMIDAS PARA ADULTOS) (PDF, 50 KB)
CAC 11B Children Enrolled in Family Day Care Homes (PDF, 40 KB)
CAC 11B Children Enrolled in Family Day Care Homes (NIÑOS INSCRITOS EN GUARDERÍAS EN CASAS PARTICULARES) (PDF, 71 KB)
CAC 11C Provider's Income and Provider's Own Children (PDF, 64 KB)
CAC 11C Provider's Income and Provider's Own Children (INGRESO DEL PROVEEDOR y de los HIJOS DEL PROVEEDOR) (PDF, 41 KB)

Review Forms

CAC 15 Center Review Form (PDF, 145 KB)
CAC 15 Home Review Form (PDF, 144 KB)
CAC 15A 3-Year Center Review Form (PDF, 181 KB)
Instructions for SO 3 Year Center Review (PDF, 119 KB)
Instructions for SO Center Review (PDF, 28 KB)
Instructions for SO Day Care Home Review (PDF, 32 KB)
Milk Reconciliation (Excel, 58 KB)
Milk Reconciliation (PDF, 22 KB)
Milk Reconciliation Instructions (PDF, 10 KB)
Space Allocation Worksheet (Excel, 214 KB)

Record-Keeping Forms

Adult Participant Enrollment/Information Form (PDF, 15 KB)
Cash Receipts and Disbursements Journal (Excel, 28 KB)
Daily Meal Count for Adults (PDF, 17 KB)
Daily Meal Count for Adults Instructions (PDF, 27 KB)
Daily Meal Count Record by Name (PDF, 30 KB)
Daily Meal Count Record by Name Ages 1-2 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 3-5 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 6-12 Years (PDF, 32 KB)
Daily Meal Count Record for Children (PDF, 17 KB)
Daily Menu - CACFP (PDF, 164 KB)
Daily Menu - Meal Count for Infants (PDF, 155 KB)
CACFP Enrollment Form (En Espanol) (PDF, 82 KB)
CACFP Enrollment Form (PDF, 67 KB)
CACFP Enrollment Form (Spanish) - Formulario para inscripción de participantes (PDF, 67 KB)
Free, Reduced, or Denied Monthly Worksheet (PDF, 9 KB)
Medical Statement for CACFP Participants Requiring Meal Modifications (PDF, 18 KB)
Provision of Infant Formula (PDF, 37 KB)
Time Record (Monthly) (Excel, 27 KB)
Time Record (Weekly - Biweekly) (Excel, 21 KB)
Worksheet for Tiering of Day Care Homes (PDF, 10 KB)

SFSP Forms Fiscal Year 2009 (Operations, Record-Keeping, Monitoring, Outreach, Regulations and FNS Instructions and Guidance)

Applications

Operations

SFSP Site Level Claim Reimbursement (PDF, 37 KB)
Sponsor Claim Checklist (PDF, 70 KB)
ADA Amendments Transmittal (PDF, 15 KB)
Site Addition-Deletion Transmittal (PDF, 15 KB)
Change in Meal Service Transmittal (PDF, 14 KB)
Field Trip Approval (PDF, 16 KB)
Year-End Worksheet (Excel, 25 KB)

Record-Keeping Forms

Bulk Food Delivery Transfer Slip (PDF, 14 KB)
Daily Meal Count Form (PDF, 26 KB)
Daily Meal Count Record by Name Ages 1-2 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 3-5 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 6-12 Years (PDF, 31 KB)
Daily Meal Count Record for Children (PDF, 17 KB)
Meal Count Worksheet for Camps (PDF, 21 KB)
Medical Statement Requiring Meal Modifications (PDF, 18 KB)
Mileage Record (PDF, 12 KB)
Monthly Meal Count Summary (SFSP-13) (PDF, 9 KB)
Sponsor Site Agreement (PDF, 8 KB)
Time Sheet – Staff (PDF, 13 KB)
Unitized Food Delivery Transfer Receipts (PDF, 11 KB)
Weekly Meal Count Summary (SFSP-12; PDF, 9 KB)
Child Eligibility Application English (PDF, 36 KB)
Daily Menu Production Record (PDF, 18 KB)
Ethnic and Racial Data Form (PDF, 10 KB)
Cash Disbursement Journal (Excel, 37 KB)

Monitoring Forms

Sponsor Site Pre-Operational Visit Review (PDF, 27 KB)
Sponsor Site Visit Review Form - First Week (PDF, 12 KB)
Sponsor Monitor Site Review Form - Four Week (PDF, 22 KB)

Outreach

Power Panther Open Site Flyers (PDF, 364 KB)
Power Panther Open Site Posters (PDF, 467 KB)
Becoming A SFSP Site (PDF, 36 KB)

Regulations and FNS Instructions and Guidance

7 CFR 225 Summer Food Service Program Regulations (link opens in new window)
FNS Civil Right Instructions 113-1 (PDF, 232 KB)
FNS Financial Management Instructions 796-4 (PDF, 302 KB)
Crediting Food Guide (PDF, 474 KB)
SFSP Handbooks (link opens in new window)

SFSP Forms Fiscal Year 2008 (Operations, Record-Keeping, Monitoring, Outreach, Regulations and FNS Instructions and Guidance)

Operations

SFSP Site Level Claim Reimbursement (PDF, 38 KB)
Sponsor Claim Checklist (PDF, 70 KB))
ADA Amendments Transmittal (PDF, 15 KB)
Site Addition-Deletion Transmittal (PDF, 15 KB)
Change in Meal Service Transmittal (PDF, 14 KB)
Ethnic and Racial Data (PDF, 10 KB)
Field Trip Approval (PDF, 16 KB)
Year End Worksheet (Excel, 20 KB)

Record-Keeping Forms

Bulk Food Delivery Transfer Slip (PDF, 14 KB)
Daily Meal Count Form (PDF, 31 KB)
Daily Meal Count Record by Name Ages 1-2 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 3-5 Years (PDF, 32 KB)
Daily Meal Count Record by Name Ages 6-12 Years (PDF, 31 KB)
Daily Meal Count Record for Children (PDF, 17 KB)
Meal Count Worksheet for Camps (PDF, 21 KB)
Mileage Record (PDF, 11 KB)
Monthly Meal Count Summary (SFSP-13) (PDF, 9 KB)
Sponsor Site Agreement (PDF, 8 KB)
Sponsor Site Supervisor Agreement (PDF, 9 KB)
Time Record – Staff (PDF, 13 KB)
Unitized Food Delivery Transfer Receipts (PDF, 11 KB)
Weekly Meal Count Summary (SFSP-12)

Monitoring Forms

Sponsor Site Pre-Operational Visit Review (PDF, 27 KB)
Sponsor Site Visit Review Form - First Week (PDF, 12 KB)
Sponsor Monitor Site Visit Review Form - Four Week (PDF, 21 KB)

Outreach

Regulations and FNS Instructions and Guidance

7 CFR 225 Summer Food Service Program Regulations (link opens in new window)
FNS Civil Right Instructions 113-1
FNS Financial Management Instructions 796-4
SFSP Guidance (link opens in new window)
Nutrition Guidance (link opens in new window)
Crediting Food Guide

SFSP Forms Fiscal Year 2007 (Operations, Record-Keeping, Monitoring, Outreach, Regulations and FNS Instructions and Guidance)

Operations

Record-Keeping Forms

Monitoring Forms

Outreach

Regulations and FNS Instructions and Guidance

7 CFR 225 Summer Food Service Program Regulations (link opens in new window)
FNS Civil Right Instructions 113-1
FNS Financial Management Instructions 796-4
SFSP Guidance (link opens in new window)
Nutrition Guidance (link opens in new window)
Crediting Food Guide

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