SDE: Forms for CACFP Homes

Forms for CACFP Homes


CACFP  |   Family Day Care Homes  |   Program Guidance  |   Resources




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The list below includes state and federal forms for family day care homes participating in the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP).

Civil Rights Claim Form Crediting Worksheets
    Enrollment Form
    • Child Enrollment Form for Family Day Care Homes English (PDF)
    • Child Enrollment Form for Family Day Care Homes Spanish (PDF)
    Income and Expenditure Report Income Eligibility
    • Family Day Care Providers: English (PDF)
      • Instructions for Family Day Care Providers:   English (PDF)
    • Family Day Care Providers: Spanish (PDF)
      • Instructions for Family Day Care Providers: Spanish (PDF)
    • Family Day Care Providers' Own Children:  English (PDF)
      • Instructions for Family Day Care Providers' Own Children  [English (PDF)
    • Family Day Care Providers' Own Children: Spanish (PDF)
      • Instructions for Family Day Care Providers' Own Children: Spanish (PDF)
    • Households in Tier II Family Day Care Homes:  English (PDF)
      • Instructions for Households in Tier II Family Day Care Homes:  English (PDF)
    • Households in Tier II Family Day Care Homes:  Spanish (PDF)
      • Instructions for Households in Tier II Family Day Care Homes:  Spanish (PDF)
    • Sample Parent Letters
      • Family Day Care Providers:  English (PDF)
      • Family Day Care Providers:  Spanish (PDF)
      • Family Day Care Providers' Own Children:  English (PDF)
      • Family Day Care Providers' Own Children:  Spanish (PDF)
      • Households in Tier II Family Day Care Homes:  English (PDF)
      • Households in Tier II Family Day Care Homes:  Spanish (PDF)
    Infants Medical Statements Menu Forms for Children 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 8:25:39 AM