Skip to content
Printer-friendly version

School Nutrition Programs Forms

Forms and completed sample forms for use by School Nutrition Programs (SNP) sponsors.

Direct Certification (DOC; Dated Apr-2012)
Implementation checklist to establish procedures to directly certify student meal eligibility.

Disclosure of Lobbying Activities External link opens in new window or tab. (PDF)
U.S. Office of Management and Budget Standard Form LLL for disclosure of lobbying activities pursuant to 31 U.S.C. 1352.

Eligibility Materials
Applications, forms, and other materials for school meal, milk, and State Meal Program eligibility.

Food Distribution Forms

Food Service Contracts

Food Service Management Company Service Procurement

Explains regulations regarding procurement of services offered by a food service management company (FSMC).
Food Service Consulting Contract Prototype (DOC.)
Price Quote for Procurement of Food Service Management Services (DOC)

Inter-Agency Agreement (DOC)
This form is used to establish the conditions under which one School Food Authority will operate the National School Lunch Program and/or School Breakfast Program on behalf of another School Food Authority.

Meal Count Forms
Worksheets for School Nutrition Program meal counts.

Medical Statement to Request Special Meals and/or Accommodations (DOC; Dated Jun-2012)
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.
Available Translations of the Medical Statement to Request Special Meals and/or Accommodations (Dated Jun-2012)

Menu Production Record Forms
Forms used to determine the amount of food to serve for School Meals Initiative (SMI) menu production.

Notification of Decision to Offer Fluid Milk Substitutes (DOC; Dated Jun-2012)
Used by schools choosing to offer a fluid milk substitute due to a medical or other special dietary need; see Management Bulletin USDA-CNP-04-2010 for more information.

Parental Request for a Fluid Milk Substitution for School-Age Children (DOC; Dated Jun-2012)
Used by parents to request a fluid milk substitute due to a medical or other special dietary need; see USDA-CNP-04-2010 for more information.

Provision Forms (Claiming Alternatives)
Forms for the School Nutrition Programs special assistance alternatives, known as Provisions 1, 2, and 3.

Seamless Summer Feeding Option Materials
Forms for the federal seamless option opportunity that allows public schools to combine features of the School Nutrition Programs and the Summer Food Service Program along with reduced paperwork requirements.

Site Monitoring

Lunch Sites (DOC)
Agencies with more than one site must complete a LUNCH site monitoring review for EACH site annually, prior to February 1.
After School Snack Sites (DOC)
Sponsor must complete 2 site monitoring reviews for each site per program year, with intervals no greater than six months.
Provisions 2 & 3 Sites (DOC)
For lunch sites that use alternative meal claiming procedures known as Provisions 2 and 3.

Snack Enrollment Roster (DOC)
Snack enrollment roster form.

Verification Materials (Dated Oct-2011)
School Nutrition Programs verification materials including applications, forms, and other materials for the annual, mandatory verification process for eligibility of a sample of completed household meal eligibility applications in schools.

Waiver Forms
New conditions for summer and Saturday school meal waivers criteria.

Questions:   Nutrition Services Division | 800-952-5609
Download Free Readers

The USDA and the CDE are equal opportunity providers and employers.
Esto explica qué hacer si usted cree que se le ha tratado injustamente.