Forms

All Program Forms

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Form Name Form Number Form Download Form Download (Alternative Format) Instructions Download Program Name
Certification Regarding Federal Lobbying H2049 Download File Download File TEFAP Forms
Child Care Food Program Collection Procedures H4515-A Download File Download File CACFP - Child Care Center
Child Nutrition Programs Waiver Request Download File Download File CACFP - Adult Day Care
Child Nutrition Programs Waiver Request Download File Download File CACFP - At-Risk Afterschool
Child Nutrition Programs Waiver Request Download File Download File CACFP - Child Care Center
Child Nutrition Programs Waiver Request Download File Download File CACFP - Day Care Home
Child Nutrition Programs Waiver Request Download File Download File FFVP Forms
Child Nutrition Programs Waiver Request Download File Download File School Nutrition Program Forms
Child Nutrition Programs Waiver Request Download File Download File SFSP Forms
Child Nutrition Programs Waiver Request Download File Download File Special Milk Program Forms
Claim for Reimbursement Download File Download File Download File FMNP Forms
Claim for Reimbursement Vouchers and Administrative Expenses Download File Download File Download File SFMNP Forms
Claim for Reimbursement Worksheet - Meals H4502 Download File Download File Download File CACFP - Adult Day Care
Claim for Reimbursement Worksheet - Meals H4502 Download File Download File Download File CACFP - At-Risk Afterschool
Claim for Reimbursement Worksheet - Meals H4502 Download File Download File Download File CACFP - Child Care Center
Community Eligibility Provision (CEP) Calculation Worksheet for Identified Student Percentage (ISP) and Claiming Download File School Nutrition Program Forms
Competitive Food (Smart Snacks) Worksheet Download File Download File School Nutrition Program Forms
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs Download File CACFP - Adult Day Care
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs Download File CACFP - At-Risk Afterschool
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs Download File CACFP - Child Care Center
Cooler or Freezer Temperature Recording Form Download File Download File School Nutrition Program Forms
Cooler or Freezer Temperature Recording Form Download File Download File Special Milk Program Forms
CSFP Missed Distribution Poster - Landscape Layout Download File CSFP Forms
CSFP Missed Distribution Poster - Portrait Layout Download File CSFP Forms
CSFP Missed Distribution Poster - SPANISH - Landscape Layout Download File CSFP Forms
CSFP Missed Distribution Poster - SPANISH - Portrait Layout Download File CSFP Forms
CSFP Missed Distribution Poster - SPANISH - Portrait Layout Download File CSFP Handbook
Daily Food Production Record for Central Kitchen, Receiving Kitchen, and Onsite Kitchen Download File Download File School Nutrition Program Forms
Daily Meal Count and Attendance Record (At-Risk) H1535-AT Download File Download File CACFP - At-Risk Afterschool
Daily Meal Count and Attendance Record (At-Risk) H1535-AT Download File Download File CACFP - Child Care Center
Daily Meal Count and Attendance Record (Centers and Emergency Shelters) H1535 Download File Download File CACFP - Adult Day Care
Daily Meal Count and Attendance Record (Centers and Emergency Shelters) H1535 Download File Download File CACFP - Child Care Center
Daily Meal Count, Attendance, and Meal Production Record (H1539) H1539 Download File Download File CACFP - Day Care Home
Daily Meal Production Record - Adult Day Care H1654 Download File Download File CACFP - Adult Day Care
Daily Meal Production Record - Child Care H1530 Download File Download File CACFP - At-Risk Afterschool
Daily Meal Production Record - Child Care H1530 Download File Download File CACFP - Child Care Center
Daily Meal Production Record - Infants H1530-A Download File Download File CACFP - Child Care Center
Daily Meal Production Record - Infants H1530-A Download File Download File CACFP - Day Care Home
Daily Menu Production Worksheet Download File Download File Download File SFSP Forms
Daily Record of Income - NSLP and SBP Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form | Afterschool Programs Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form | Community Eligibility Provision (CEP) and Lunch Attendance Factor Calculator Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form | Provision 2 (P2), Non-Base Year and Lunch Attendance Factor Calculator Download File Download File School Nutrition Program Forms
Daily Record/Accuclaim Form and Lunch Attendance Factor Calculator Download File Download File School Nutrition Program Forms
Delivery Location Template Download File FDP Forms
Direct Deposit Authorization 74-176 Download File CACFP - Adult Day Care
Direct Deposit Authorization 74-176 Download File CACFP - At-Risk Afterschool
Direct Deposit Authorization 74-176 Download File CACFP - Child Care Center
Direct Deposit Authorization 74-176 Download File CACFP - Day Care Home
Direct Deposit Authorization 74-176 Download File CSFP Forms
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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
This institution is an equal opportunity provider.
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