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  • 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

  • CACFP At a Glance Calendar
  • Claims Processing Calendar
  • Renewal Preparation Checklist

 

Administration 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

 

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

 

Adding a Site

  • Instructions: How to Add a New Site (Center) (At-Risk)
  • 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 specialist)
  • Child Care Standards for Unlicensed Facilities

 

Participant Enrollment and Eligibility

  • Participant Menu Modification Form
  • 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:
      • Instructions (English) (Spanish)
      • Letter to Household (English) (Spanish)
    • Income Eligibility Guidelines Effective July 1, 2024 - June 30, 2025
    • Income Eligibility Guidelines Effective July 1, 2025 - June 30, 2026
    • 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, 2024 - June 30, 2025
    • Income Eligibility Guidelines Effective July 1, 2025 - June 30, 2026
    • Claiming Rosters (PDF) (Excel)

 

Building a Menu

  • Child and Adult Meal Pattern Requirements
  • Menu Template
    • 7-Days: All Meals and Snacks
    • 5-Days: All Meals and Snacks
    • 5-Days: Breakfast, Lunch, AM and PM Snack
    • 5-Days: Breakfast, Lunch, Snack
  • ADE Sample Menu
  • Menu Self-Assessment

 

Identifying and Preparing Nutritious and Creditable Foods

  • Creditable Foods Guide
  • Team Nutrition Training Worksheets
  • WIC Foods Database
  • Grains Ounce Equivalents
    • Exhibit A
    • Using Ounce Equivalents for Grains in the CACFP
  • Meal Quality Guidance Tool (USDA)
  • 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 Totaling Meals Served

  • Child and Adult Point of Service Meal Count Forms
    • 7-Days: All Meals and Snacks
    • 5-Days: All Meals and Snacks
    • 5-Days: Breakfast, Lunch, AM and PM Snack
    • 5-Days: Breakfast, Lunch, Snack
  • Meal Count Summary Sheet (PDF) (Excel)

 

Feeding Infants

  • Forms:
    • Infant Point of Service Meal Count Sheet
    • Infant Feeding Preference Form (English) (Spanish)
    • DHS Solid Food Introduction Form
  • Resources:
    • Infant Meal Pattern Chart
    • Feeding Infants in the CACFP Guide
    • Breastfed Babies Welcome Here

 

Operating At-Risk

  • Forms:
    • At-Risk Point of Service Meal Counts
    • At-Risk 5-Day Reconciliation Form
    • At-Risk Monitoring Form
  • Resources:
    • Operating At-Risk in a Childcare Center

 

Monitoring Sites

  • Monitoring Visit Form

 

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:
    • Allowable Expenses in the CACFP

 

Submitting a Claim

  • Claims Processing Calendar
  • Monthly Claims Preparation Worksheet (Sponsor Claim) (Site Claim)
  • Request for One-Time Exception Form
  • Administrators and School Leaders
    • Free and Reduced Data and use with other programs
    • SUN Bucks
    • Prospective Waiver Requests
  • Parents and Families
    • Find a Participating Summer Food Service Site
    • Paying for Meals
    • SUN Bucks
    • Menu Requirements
    • Additional Benefits for Children and Families
  • Child Nutrition Program Operators
    • National School Lunch Program and School Breakfast Program
    • Child and Adult Care Food Program
    • Afterschool Care Snack Program and At-Risk Afterschool Meals
    • Summer Meal Service
    • Staying on Track Monthly Webinar
  • Peer to Peer Support for Child Nutrition Professionals
  • Free and Reduced-Price Percentage Report
  • HNS/USDA Memos
  • Civil Rights
  • Submit Data Request
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