Administration and Forms for CACFP

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Programs > Child and Adult Care Food Program > Administration/Forms

FNS Instruction 796-2 and Tip Sheet

FNS Instruction 796-2 Financial Management - Child and Adult Care Food Program (CACFP)
Tip Sheet - Assessing Costs in the Child and Adult Care Food Program (CACFP)

CACFP Forms

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Form Name	Form Number	Program Name
Micro-Purchase Log		CACFP - Day Care Home
Milk Flexibility for Emergency Conditions Notification		CACFP - At-Risk Afterschool
Milk Flexibility for Emergency Conditions Notification Form		CACFP - Adult Day Care
Milk Flexibility for Emergency Conditions Notification Form		CACFP - Child Care Center
Milk Flexibility for Emergency Conditions Notification Form		CACFP - Day Care Home
Notice to Providers of Tier Determination (Child and Adult Care Food Program-Day Care Homes)	H1659	CACFP - Day Care Home
Onsite Monitoring Waiver Request Form		CACFP - Adult Day Care
Onsite Monitoring Waiver Request Form		CACFP - Child Care Center
Onsite Monitoring Waiver Request Form		CACFP - Day Care Home
Payee Change Request	74-157	CACFP - Adult Day Care
Payee Change Request	74-157	CACFP - At-Risk Afterschool
Payee Change Request	74-157	CACFP - Child Care Center
Payee Change Request	74-157	CACFP - Day Care Home
Performance Bond	BOND	CACFP - Adult Day Care
Performance Bond	BOND	CACFP - At-Risk Afterschool
Performance Bond	BOND	CACFP - Child Care Center
Performance Bond	BOND	CACFP - Day Care Home
Permanent Agreement Between Sponsoring Organization and Adult Day Care Site		CACFP - Adult Day Care
Permanent Agreement Between Sponsoring Organization and Child Care Site		CACFP - At-Risk Afterschool
Permanent Agreement Between Sponsoring Organization and Child Care Site		CACFP - Child Care Center
Permanent Agreement Between Sponsoring Organization and Child Care Site - Sponsoring Organization Provides Meals/Snacks		CACFP - At-Risk Afterschool
Permanent Agreement Between Sponsoring Organization and Child Care Site - Sponsoring Organization Provides Meals/Snacks		CACFP - Child Care Center
Permanent Agreement Between Sponsoring Organization and Day Care Home Provider(s)		CACFP - Day Care Home
Permanent Agreement Contracting Entity Specific Amendment - Name		CACFP - Adult Day Care
Permanent Agreement Contracting Entity Specific Amendment - Name		CACFP - At-Risk Afterschool
Permanent Agreement Contracting Entity Specific Amendment - Name		CACFP - Child Care Center
Permanent Agreement Contracting Entity Specific Amendment - Name		CACFP - Day Care Home
Permanent Agreement Contracting Entity Specific Amendment - Programs		CACFP - Adult Day Care
Permanent Agreement Contracting Entity Specific Amendment - Programs		CACFP - At-Risk Afterschool
Permanent Agreement Contracting Entity Specific Amendment - Programs		CACFP - Child Care Center
Permanent Agreement Contracting Entity Specific Amendment - Programs		CACFP - Day Care Home
Pre-Approval Visit	H1602-P	CACFP - Adult Day Care
Pre-Approval Visit	H1606-AT-P	CACFP - At-Risk Afterschool
Pre-Approval Visit	H1606-P	CACFP - Child Care Center
Pre-Approval Visit	H1607-P	CACFP - Day Care Home
Pre-Award Civil Rights Compliance Review		CACFP - Adult Day Care
Pre-Award Civil Rights Compliance Review		CACFP - At-Risk Afterschool
Pre-Award Civil Rights Compliance Review		CACFP - Child Care Center
Pre-Award Civil Rights Compliance Review		CACFP - Day Care Home
Racial/Ethnic Participant Data Collection Prototype		CACFP - Adult Day Care
Racial/Ethnic Participant Data Collection Prototype		CACFP - At-Risk Afterschool
Racial/Ethnic Participant Data Collection Prototype		CACFP - Child Care Center
Racial/Ethnic Participant Data Collection Prototype		CACFP - Day Care Home
Record of Leftover/Recycled Food	H1568	CACFP - Adult Day Care
Record of Leftover/Recycled Food	H1568	CACFP - At-Risk Afterschool
Record of Leftover/Recycled Food	H1568	CACFP - Child Care Center
Record of Leftover/Recycled Food	H1568	CACFP - Day Care Home
Review	H1602	CACFP - Adult Day Care
Review	H1606-AT	CACFP - At-Risk Afterschool
Review	H1606	CACFP - Child Care Center

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, 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/ad-3027.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.

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