Required Entity Organization Application Forms

ADEConnect Entity Administrator Form (if applicable)
State of Arizona W-9 Form
Nonprofit 501c3 from the IRS (if applicable)
Add/Change/Delete Form (ACD)
- Manual Form (print, sign, scan and email)
- Electronic Form (access and fill out online, electronic signature)
  - The “Applicable Program” at the top of the form MUST be selected in order for the request to be processed.
  - The initiator of the form must also be an authorized signer.
Arizona Department Health Services License (if applicable)
Unique Entity Identifier (UEI) lookup or request a UEI by visiting https://sam.gov/content/duns-uei
Initiation Form For Electronic Food Program Permanent Service Agreement
Certification Regarding Debarment
Certification Regarding Lobbying
Free and Reduced-Price Policy Statement
- If applicable to your operation, please also include:
  - SFA At-Risk Afterschool Meals Responsible Principals Addendum (PDF)
  - Addendum- Provision 2
  - Addendum- Provision 3
  - Addendum- Community Eligibility Provision (CEP)
  - Addendum- Non-Pricing
  - Addendum- RCCI without Day Students
  - Addendum – Special Milk Pricing
Civil Rights Pre-Award Compliance Form
Media Release
Food Service Vendor Contract (if applicable)
- Inter-Agency Catering Agreement (Checklist) (Template)
- Inter-Agency Agreement (Checklist) (Template)
- Informal Catering Contract Agreement (Checklist) (Template)
- Sample Catering Specifications and Requirements
- Certificate of Independent Price Determination