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CACFP Forms

Forms and completed sample forms for use by Child and Adult Care Food Program (CACFP) sponsors.

Eligibility Materials

Adult Component Eligibility Materials
Participant eligibility materials for the adult component of the Child and Adult Care Food Program (CACFP).

Child Care Center Eligibility Materials
Participant eligibility materials for the child care component of the CACFP.

Day Care Home Eligibility Materials
Provider and participant eligibility materials for the day care home component of the CACFP.

Forms

Medical Statement to Request Special Meals and/or Accommodations in the Child and Adult Care Food Program and Summer Food Service Program (DOC)
CNP 925 - This form is used by parents/guardians to have a medical authority prescribe special meals, or accommodations during meals, which are necessary because of a disability or medical reason.

Parental Request for a Fluid Milk Substitution for Children in Child Care (DOC)
Used by parents to request a fluid milk substitute due to a medical or other special dietary need; see MB USDA-CACFP-20-2011 for more information.

Questions:   Nutrition Services Division | 800-952-5609
Last Reviewed: Wednesday, April 19, 2017
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  • CACFP Administrative Manual (added 05-Apr-2017)
    Child and Adult Care Food Program Administrative Manual Section 1.4: Licensing Requirements.
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    Child and Adult Care Food Program Administrative Manual Section 1.5: Additional Center Requirements.
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    Child and Adult Care Food Program Administrative Manual Section 1.5: Performance Standards.

  • CACFP Administrative Manual (added 05-Apr-2017)
    Child and Adult Care Food Program Administrative Manual Terms, Definitions, and Acronyms.
  • CACFP Administrative Manual (added 05-Apr-2017)
    Child and Adult Care Food Program Administrative Manual Section 1.1: Business Entity Type.
  • CACFP Administrative Manual (added 05-Apr-2017)
    Child and Adult Care Food Program Administrative Manual Section 1.2: Responsible Principals.
  • CACFP Administrative Manual (added 05-Apr-2017)
    Child and Adult Care Food Program Administrative Manual Section 1.3: Program Agreement Type.
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    A guide to the Child and Adult Care Food Program critical compliance standards for centers and day care home sponsors.