SDE: Forms for CACFP Child Care Centers

Forms for CACFP Child Care Centers


CACFP  |   Program Guidance  |   Resources

At-risk Afterschool Care  |   Centers  |   Emergency Shelters  |   Family Day Care Homes



{girl drinking milk} {boy eating fruit salad} {baby eating from a spoon} {boy eating apple}
The list below includes state and federal forms for child care centers, at-risk afterschool care centers, and emergency shelters participating in the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP).

Authorized Signatures Change Civil Rights Claim Form Crediting Worksheets Enrollment Form
  • Child Enrollment Form for Child Care Centers English (PDF)
  • Child Enrollment Form for Child Care Centers Spanish (PDF)
  • Child Enrollment Form for Head Start Centers English (PDF)
  • Child Enrollment Form for Head Start Centers Spanish (PDF)
Food Safety Food Service Management Company (FSMC) Contract
    Income and Expenditure Report Income Eligibility
    • Income Eligibility Form for Child Care Centers/Head Start:  English (PDF)
      • Instructions for Income Eligibility Form for Child Care Centers/Head Start  English (PDF)
    • Income Eligibility Form for Child Care Centers/Head Start:  Spanish (PDF)
      • Instructions for Income Eligibility Form for Child Care Centers/Head Start:  Spanish (PDF)
    • Income Guidelines for the CACFP
    • Sample Parent Letter:  English (PDF)
    • Sample Parent Letter:  Spanish (PDF)
      Infants Medical Statements Menu Forms for Children Monitoring Nutrition and Physical Activity Policies Production Records Standardized Recipes

        CONTACT
        CSDE CACFP Staff
        Connecticut State Department of Education
        Bureau of Health, Nutrition, Family Services and Adult Education
        Child Nutrition Programs
        450 Columbus Boulevard, Suite 504
        Hartford, CT 06103-1841
        Phone: 860-807-2050
        Fax: 860-807-2127


        Nondiscrimination Statements (USDA and CSDE)




        Content Last Modified on 10/10/2017 7:21:27 AM