How to Apply

CLICK HERE for Complete Application Instructions for:

  • Adult Day Care Centers - Licensed
  • At-Risk, After School Programs
  • Child Care Centers - Licensed or License-Exempt
  • Emergency & Homeless Shelters
  • Family Child Care Homes - Licensed

 

Menus

pdf USDA Requirements (5 day)
pdf USDA Requirements (7 day)
pdf

3 Meal Menu Template (5 day)

pdf 5 Meal Menu Template (5 day)
pdf 5 Meal Menu Template (7 day)
pdf At-Risk Snack & Supper Menu Template (5 day)
pdf At-Risk Snack & Supper Menu Template (7 day)
pdf Individual Infant Meal Record, Birth to 5 Months (5 Day)
pdf Individual Infant Meal Record, Birth to 5 Months (7 Day)
pdf Individual Infant Meal Record, 6 to 11 Months (5 Day)
pdf Individual Infant Meal Record, 6 to 11 Months (7 Day)

 

Food Charts

pdf Infants
pdf Breakfast
pdf

Lunch and Supper

pdf Snack
pdf Adult
pdf At-Risk, Afterschool

CACFP Applications & Forms

pdf   Annual CACFP Training Documentation (CACFP 222)
web   Annual Subrecipient Information Form
pdf   Application and Management Plan for Participation in the Child and Adult Care Food Program (CACFP 1)
pdf   Application Budget – Child Care or Adult Day Care Center, Outside School Hours Center, Emergency Shelter or At-Risk After School Snack Program (CACFP 209)
pdf   Application/Center Information for the Child and Adult Care Food Program (CACFP 2)
doc   CACFP Network User Access Request Form
doc   CAP Fillable Form (CACFP 230)
pdf   Child Care Enrollment Form (shared)
pdf xls Daily Attendance Record (CACFP 213)
pdf Daily Meal Receiving Log
pdf doc Documentation of Non-profit Food Service (CACFP 214)
pdf   Enrollment Form for Child Care Centers (CACFP 229)
pdf doc Enrollment Roster (CACFP 220)
pdf   Five Components in Menu Planning
pdf   Grain Requirements for the Child and Adult Care Food Program
pdf   Income Eligibility Form for Adult Care Centers (CACFP 501)
pdf   Income Eligibility Form for Child Care Centers (CACFP 205)
pdf   Infant and Toddler Feeding and Care Plan for both Centers and Homes
pdf Meal Communication and Credit Log
pdf doc Meal Count (Monday thru Friday - letter size) (CACFP 225)
pdf doc Meal Count (Sunday thru Saturday - legal size) (CACFP 225A)
pdf doc Meal Count Record (Tally) for At-Risk Programs (150 Count Max)
Microsoft Word (doc) is fillable!
pdf doc Meal Count Record (Tally) for At-Risk Programs (300 Count Max)
Microsoft Word (doc) is fillable!
pdf   Medical Food Substitution Record (CACFP 227)
pdf doc Monthly Attendance Time In/Time Out Record (CACFP 224)
pdf doc Monthly Donated Food Log for Shelters
pdf   Non-Discrimination Policy Statement (Pricing Centers Only)
pdf doc Shelter Meal Count (Sunday thru Saturday - letter size) (CACFP 225B)
pdf doc Shelter Resident Roster by Month
pdf doc Shelter Resident Roster by Period
pdf doc Sponsored Centers Site Visit Report (CACFP 404)
pdf doc Statement of Affiliation, for not-for-profit organizations (CACFP 208)
pdf doc Time In/Time Out Record (CACFP 221)
pdf   Vendor Input/ACH-EFT Application – SAM II (required for new applicants and to change direct deposits)