Skip to main content
California Department of Education Logo

School Nutrition Programs Forms

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

Direct Certification (DOC)
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

Meal Count Forms
Worksheets for School Nutrition Program meal counts.

Medical Statement to Request Special Meals and/or Accommodations (DOC)
CNP 925 - This form is used by parents/guardians to have a medical authority prescribe special meals or accommodations during meals.
Available translations of the Medical Statement to Request Special Meals and/or Accommodations for Child Nutrition Programs (Dated Aug-2017)

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)
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 or Guardian Consent Form to Release the Household Meal Application to the CalFresh Program (DOC)
Used by schools to obtain parental or guardian consent to release the household meal application to the local CalFresh office to initiate enrollment of the student's family in the CalFresh program.
Available Translations of Parental or Guardian Consent Form to Release the Household Meal Application to the CalFresh Program

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.

Verification Materials
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
The CDE Attachment for Waivers page; see Summer School Meal section for summer school meal waiver forms. For Saturday school meal waivers, use the CDE Waiver Request System.

Questions:   Nutrition Services Division | 800-952-5609
Last Reviewed: Thursday, November 14, 2019
Related Content
  • School Nutrition
    Meal and milk programs offered at public and private non-profit schools and residential child care institutions.
Recently Posted in Nutrition
  • Summer Food Service Program Information (updated 15-Jan-2020)
    Administrative and operational information and guidance for organizations that participate in the program.
  • Earned Income Tax Credit Information Act (added 10-Jan-2020)
    The California Revenue and Taxation Code (RTC) Section 19853(b) requires local educational agencies (LEA) that operate the National School Lunch Program to annually notify households about the Earned Income Tax Credit (EITC) Information Act.
  • 2021 SBP and SMP Grants Available! (added 10-Jan-2020)
    The California Department of Education (CDE) Nutrition Services Division is sending this message to announce the availability of School Year 2020–21 School Breakfast Program (SBP) and Summer Meal Programs (SMP) Start-up and Expansion Grants.
  • Proposition 12 Public Comment Period (added 10-Jan-2020)
    California Department of Food and Agriculture’s (CDFA) open comment period regarding the draft regulation for Proposition 12, the Farm Animal Confinement Initiative.
  • New USDA Justice for All Posters Now Available (added 10-Jan-2020)
    The new U.S. Department of Agriculture’s (USDA) And Justice for All posters have arrived.

  • Overview: Competitive Food and Beverage Rules (added 03-Jan-2020)
    The School Nutrition Programs Overview, Definitions, and Resources: Competitive Food and Beverage Rules online training.
  • Community Eligibility Provision - Upcoming Review (added 03-Jan-2020)
    The purpose of this notice is to inform you that we will be conducting an off-site validation review of the identified student percentage (ISP) that was established upon approval for your participation in the CEP.
  • CNAC Member Recruitment 2020 (added 03-Jan-2020)
    The State Superintendent of Public Instruction (SSPI) Child Nutrition Advisory Council (CNAC) is currently recruiting.
  • School Nutrition Success Workshops December 2019 (added 03-Jan-2020)
    Register today to participate in a Team Up for School Nutrition Success (Team Up) workshop.
  • CACFP Ounce Equivalents for Grains Worksheet (added 03-Jan-2020)
    To help program operators transition to the use of ounce equivalents, the USDA Food and Nutrition Service (FNS) has released the Using Ounce Equivalents for Grains in the Child and Adult Care Food Program (CACFP) worksheet.