Note: The goal of this page is to provide eligibility materials that are not specific to any year. The exceptions are the household size and income eligibility scale documents. These files will be state fiscal year specific. The tables provided in the "scales for inclusion" file may be pasted into the relevant form or sample letter as necessary.
Household Size and Income Eligibility Scales
2008-2009 Scales
- 2008-2009 Eligibility Scale for Free or Reduced-Price Meals (DOC; 60KB; 1p.)
Child care center income eligibility guidelines for free or reduced-price meals. - 2008-2009 Scales for Inclusion in Eligibility Documents (DOC; 80KB; 1p.)
Household Size and Income Eligibility Guideline Charts prepared in a format that allows you to copy a chart and paste it into the forms as necessary.
2007-2008 Scales
- 2007-2008 Eligibility Scale for Free or Reduced-Price Meals (DOC; 60KB; 1p.)
Child care center income eligibility guidelines for free or reduced-price meals. - 2007-2008 Scales for Inclusion in Eligibility Documents (DOC; 76KB; 1p.)
Household Size and Income Eligibility Guideline Charts prepared in a format that allows you to copy a chart and paste it into the forms as necessary.
Applications
- NSD 3101 - Meal Benefit Form (DOC; 122KB; 4pp.)
Child care center application for children's eligibility.
Available Translations of the Meal Benefit Form - NSD 3101C - Meal Benefit Form Completion Checklist (DOC; 38KB; 1p.)
Checklist for child care centers to use for eligibility applications.
Eligibility Materials
- Management Bulletin NSD-CACFP-08-2007
Child care center participant eligibility forms. - Eligibility Guidance Manual - DOC (72KB; 8pp.)
Updated version of USDA's guidance for determining children's eligibility for free and reduced-price meal benefits. - NSD 3104 - Letter to Parents (Non-Pricing) (DOC; 48KB; 3pp.)
Child care center non-pricing program letter to households.
Available Translations of the Letter to Parents (Non-Pricing) - NSD 3105 - Letter to Parents (Pricing) (DOC; 39KB; 2pp.)
Child care center pricing program letter to households.
Available Translations of the Letter to Parents (Pricing) - NSD 3201 - Letter to Parents to Collect Racial-Ethnic Data (DOC; 40KB; 2pp.)
Child care center letter to parents for purpose of collecting racial-ethnic data.
Available Translations of the Letter to Parents to Collect Racial-Ethnic Data - NSD 3304 - Public Media Release (Non-Pricing) (DOC; 41KB; 2pp.)
Sample wording and instructions for issuing the annual media release for centers that do not charge separately for meals. - NSD 3304 - Public Media Release (Pricing) (DOC; 80KB; 2pp.)
Sample wording and instructions for issuing the annual media release for centers that charge separately for meals. - NSD 3110 - Enrollment/Eligibility Roster (DOC; 54KB; 1p.)
Roster used to establish the enrollment/eligibility study for the month that centers will complete Line 7 on the claim form.
