Program Forms and Resources CACFP
Program Forms and Resources CACFP
The following are program forms and resources for operators of the Child and Adult Care Food Program.
Calendars and Checklists
Organizational
Administrative Forms:
- Permanent Agreement
- Manual Permanent Agreement (print, sign 1 original, mail to ADE for approval)
- Electronic Permanent Agreement (complete CACFP Initiation Form, agreement is emailed to signers directly by AdobeSign, electronic signature)
- Unique Entity Identifier (UEI) (Lookup or request a UEI)
- Administrative Review Procedures
- Procedures for Complaints of Discrimination
- State of Arizona W-9
- State of Arizona ACH Authorization Form
- ADEConnect Request for Entity Administrator
- Computer Software Agreement
- Media Release for Non-Pricing Programs
- Free and Reduced-Price Policy Statement for Non-Pricing Programs
- Organization's Certificate of Incorporation
- Civil Rights Pre-Award Compliance
- Procurement Standards and Code of Conduct
- Food Service Contract Document, if applicable – contact [email protected]
- Template Forms:
Adding a Site:
- Add/Change/Delete Form
- HelpDesk Add/Change/Delete
- Log into ADEConnect
- Click 'Help'
- Click 'HelpDesk'
- Click 'New Request'
- Locate Health and Nutrition Services templates
- Select 'HNS Add/Change/Delete form'
- Complete all required fields and applicable optional fields within HelpDesk's Add/Change/Delete form
- *Use/Requestor submitting Add/Change/Delete form must be submitted by an Authorized Signer listed on the Food Permanent Service Agreement
- Manual (print, sign, scan, and email to the specialist)
- HelpDesk Add/Change/Delete
- Child Care Standards for Unlicensed Facilities
Household Contact Procedure:
- Household Contact Procedures
- Household Contacts Parent Survey (Phone)
Required Postings
- Building for the Future Flyer
- Current WIC Flyer (English) (Spanish)
- To order 'And Justice for All' posters, email [email protected]
Training Staff
- Civil Rights Compliance for Child Nutrition Operators (English) (Spanish)
- Annual Staff CACFP Training Presentation Template
- CACFP Trainer’s Tools: Feeding Infants
- Template Training Agenda and Sign-In Sheet
Participant Enrollment and Eligibility
Child Care Center Enrollment:
- DHS Emergency, Information, and Immunization Record Card (Blue Card)
- Meal Benefit Income Eligibility Form (English) (Spanish)
- Required Resources to Provide Families:
- Income Eligibility Guidelines (Effective July 1, 2025 - June 30, 2026)
- Income Eligibility Guidelines (Effective July 1, 2026 - June 30, 2027)
- Claiming Rosters (PDF) (Excel)
Adult Care Center Enrollment:
- Meal Benefit Income Eligibility Form
- Required Resources to Provide Families: (Instructions) (FAQ)
- Income Eligibility Guidelines (Effective July 1, 2025 - June 30, 2026)
- Income Eligibility Guidelines (Effective July 1, 2026 - June 30, 2027)
- Claiming Rosters (PDF) (Excel)
Menu Planning Resources
Building a Menu:
Identifying and Preparing Nutritious and Creditable Foods:
- Creditable Foods Guide
- Team Nutrition Training Worksheets
- Grains Ounce Equivalents
- Meal Quality Guidance Tool
- Food Buying Guide for Child Nutrition Programs Interactive Web-Based Tool
- Production Worksheet Template
- Milk Purchasing Calculator
- Temperature Log
Preparing for the Meal Service:
- Family Style Meal Service in Arizona (Arizona Early Childhood Education Association)
- Offer Versus Serve in the CACFP (Only Applicable for At-Risk and Adults)
Counting and Claiming
Counting and Totaling Meals Served:
Tracking Program Expenses:
- Forms:
- Food Service Cost Report (PDF) (Excel)
- Time Distribution Report Form
- Monthly Expense Worksheet (PDF) (Excel)
- Equipment Pre-Approval Request Form
- Resources:
Submitting a Claim:
- Claims Processing Calendar
- Monthly Claims Preparation Worksheet (Sponsor Claim) (Site Claim)
- Request for One-Time Exception Form
Program Calculators:
Infant Feeding
Forms:
- Infant Point of Service Meal Count Sheet
- Infant Feeding Preference Form (English) (Spanish)
- DHS Solid Food Introduction Form
Resources:

