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Form Name	Form Number	Program Name
Excess Net Cash Resources Plan for CACFP/SFSP		CACFP - At-Risk Afterschool
Excess Net Cash Resources Plan for CACFP/SFSP		CACFP - Child Care Center
Excess Net Cash Resources Plan for CACFP/SFSP		CACFP - Day Care Home
Excess Net Cash Resources Plan for CACFP/SFSP		SFSP Forms
Excess Net Cash Resources Plan		School Nutrition Program Forms
Documentation of Meals Claimed - At-Risk	H1540-AT	CACFP - At-Risk Afterschool
Documentation of Meals Claimed	H1540	CACFP - Adult Day Care
Documentation of Meals Claimed	H1540	CACFP - Child Care Center
Documentation of Meals Claimed	H1534	CACFP - Day Care Home
Disclosure of Lobbying Activities Continuation Sheet		CSFP Forms
Disclosure of Lobbying Activities Continuation Sheet		FDP Forms
Disclosure of Lobbying Activities Continuation Sheet		FMNP Forms
Disclosure of Lobbying Activities Continuation Sheet		SFMNP Forms
Disclosure of Lobbying Activities Continuation Sheet		SFSP Forms
Disclosure of Lobbying Activities Continuation Sheet		TEFAP Forms
Disclosure of Lobbying Activities		CSFP Forms
Disclosure of Lobbying Activities		FDP Forms
Disclosure of Lobbying Activities		FMNP Forms
Disclosure of Lobbying Activities		SFMNP Forms
Disclosure of Lobbying Activities		SFSP Forms
Disclosure of Lobbying Activities		TEFAP Forms
Direct Deposit Authorization	74-176	CACFP - Adult Day Care
Direct Deposit Authorization	74-176	CACFP - At-Risk Afterschool
Direct Deposit Authorization	74-176	CACFP - Child Care Center
Direct Deposit Authorization	74-176	CACFP - Day Care Home
Direct Deposit Authorization	74-176	CSFP Forms
Direct Deposit Authorization	74-176	FDP Forms
Direct Deposit Authorization	74-176	FMNP Forms
Direct Deposit Authorization	74-176	School Nutrition Program Forms
Direct Deposit Authorization	74-176	SFMNP Forms
Direct Deposit Authorization	74-176	SFSP Forms
Direct Deposit Authorization	74-176	Special Milk Program Forms
Direct Deposit Authorization	74-176	TEFAP Forms
Delivery Location Template		FDP Forms
Daily Record/Accuclaim Form and Lunch Attendance Factor Calculator		School Nutrition Program Forms
Daily Record/Accuclaim Form \| Provision 2 (P2), Non-Base Year and Lunch Attendance Factor Calculator		School Nutrition Program Forms
Daily Record/Accuclaim Form \| Community Eligibility Provision (CEP) and Lunch Attendance Factor Calculator		School Nutrition Program Forms
Daily Record/Accuclaim Form \| Afterschool Programs		School Nutrition Program Forms
Daily Record of Income - NSLP and SBP		School Nutrition Program Forms
Daily Menu Production Worksheet		SFSP Forms
Daily Meal Production Record - Infants	H1530-A	CACFP - Child Care Center
Daily Meal Production Record - Infants	H1530-A	CACFP - Day Care Home
Daily Meal Production Record - Child Care	H1530	CACFP - At-Risk Afterschool
Daily Meal Production Record - Child Care	H1530	CACFP - Child Care Center
Daily Meal Production Record - Adult Day Care	H1654	CACFP - Adult Day Care
Daily Meal Count, Attendance, and Meal Production Record (H1539)	H1539	CACFP - Day Care Home
Daily Meal Count and Attendance Record (Centers and Emergency Shelters)	H1535	CACFP - Adult Day Care
Daily Meal Count and Attendance Record (Centers and Emergency Shelters)	H1535	CACFP - Child Care Center
Daily Meal Count and Attendance Record (At-Risk)	H1535-AT	CACFP - At-Risk Afterschool
Daily Meal Count and Attendance Record (At-Risk)	H1535-AT	CACFP - Child Care Center

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Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help. Additional translations services available as well.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

1. Mail:

U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW

Washington, D.C. 20250-9410; or

2. Fax: (833) 256-1665 or (202) 690-7442; or

3. Email: program.intake@usda.gov.

This institution is an equal opportunity provider.