(877)TEX-MEAL
CACFP Administration & Forms
CACFP participants submit applications and file claims through the Texas Unified Nutrition Programs System: TX-UNPS.

Area Eligibility Based on Census Data

Minimize
Census data may be used to determine area eligibility for day care home providers. Eligibility is established when census data indicates that at least 50 percent of the children residing in the area are members of households that meet the income standards for free or reduced-price meals. Visit our page on Census Data to learn how to establish area eligibility using census data.

CACFP-Adult Day Care

Minimize
Search Tips 
Form NameForm NumberForm
Download
Instructions
Download
Program Name
  
First Page Previous Page
12
Next Page Last Page
Page size:
select
 40 items in 2 pages
2015 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Adult Day Care
2016 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Adult Day Care
2017 Income Eligibiliy Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Adult Day Care
2018 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Adult Day Care
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Adult Day Care Site  AMEND 1 Download File  Download File      CACFP-Adult Day Care
Annual Audit  AUDIT Download File  Download File      CACFP-Adult Day Care
Application for Texas Identification Number  AP-152 Download File        CACFP-Adult Day Care
CACFP - Centers Claim for Reimbursement - Contracting Entity Level    Download File  Download File  Download File    CACFP-Adult Day Care
CACFP - Centers Claim for Reimbursement - Site Level    Download File  Download File  Download File    CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form (Adult Care)    Download File  Download File      CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form (Adult Care) in Spanish    Download File  Download File      CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form Letter to Households (Adult Day Care)    Download File        CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form Letter to Households (Adult Day Care) in Spanish    Download File        CACFP-Adult Day Care
Certificate of Authority for External Users  FND 101 Download File    Download File  Download File   CACFP-Adult Day Care
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File      CACFP-Adult Day Care
Certification Regarding Federal Lobbying  H2049 Download File  Download File      CACFP-Adult Day Care
Claim for Reimbursement Worksheet - Meals  H4502 Download File  Download File  Download File    CACFP-Adult Day Care
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs    Download File        CACFP-Adult Day Care
Daily Meal Count and Attendance Record (Center and Emergency Shelters)  H1535 Download File  Download File      CACFP-Adult Day Care
Daily Meal Production Record - Adult Day Care  H1654 Download File  Download File      CACFP-Adult Day Care

CACFP-Child Care Center

Minimize
Search Tips 
Form NameForm NumberForm
Download
Instructions
Download
Program Name
  
First Page Previous Page
123
Next Page Last Page
Page size:
select
 55 items in 3 pages
2012-2013 PEIMS School Data  PEIMS Download File        CACFP-Child Care Center
2013-2014 PEIMS School Data  PEIMS Download File        CACFP-Child Care Center
2014-2015 PEIMS School Data  PEIMS Download File        CACFP-Child Care Center
2015 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Child Care Center
2015-2016 PEIMS School Data  PEIMS Download File        CACFP-Child Care Center
2015-2016 WIC Information  WIC Download File        CACFP-Child Care Center
2015-2016 WIC Information Spanish  WIC - SPANISH Download File        CACFP-Child Care Center
2016 - 2017 WIC Information  WIC Download File        CACFP-Child Care Center
2016 - 2017 WIC Information Spanish  WIC SPANISH Download File        CACFP-Child Care Center
2016 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Child Care Center
2016-2017 School Data  SCHOOL DATA Download File        CACFP-Child Care Center
2017 - 2018 WIC Information English and Spanish  WIC Download File        CACFP-Child Care Center
2017 Income Eligibiliy Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Child Care Center
2018 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Child Care Center
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Child Care Site  AMEND 1 Download File  Download File      CACFP-Child Care Center
Annual Audit  AUDIT Download File  Download File      CACFP-Child Care Center
Application for Texas Identification Number  AP-152 Download File        CACFP-Child Care Center
CACFP - Centers Claim for Reimbursement - Contracting Entity Level    Download File  Download File  Download File    CACFP-Child Care Center
CACFP - Centers Claim for Reimbursement - Site Level    Download File  Download File  Download File    CACFP-Child Care Center
CACFP Meal Benefit Income Eligibility Form (Child Care)    Download File  Download File      CACFP-Child Care Center

CACFP-Day Care Home

Minimize
Search Tips 
Form NameForm NumberForm
Download
Instructions
Download
Program Name
  
First Page Previous Page
123
Next Page Last Page
Page size:
select
 51 items in 3 pages
2012-2013 PEIMS School Data  PEIMS Download File        CACFP-Day Care Home
2013-2014 PEIMS School Data  PEIMS Download File        CACFP-Day Care Home
2014-2015 PEIMS School Data  PEIMS Download File        CACFP-Day Care Home
2015 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Day Care Home
2015-2016 PEIMS School Data  PEIMS Download File        CACFP-Day Care Home
2015-2016 WIC Information  WIC Download File        CACFP-Day Care Home
2015-2016 WIC Information Spanish  WIC - SPANISH Download File        CACFP-Day Care Home
2016 - 2017 WIC Information  WIC Download File        CACFP-Day Care Home
2016 - 2017 WIC Information Spanish  WIC SPANISH Download File        CACFP-Day Care Home
2016 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Day Care Home
2016-2017 School Data  SCHOOL DATA Download File        CACFP-Day Care Home
2017 - 2018 WIC Information English and Spanish  WIC Download File        CACFP-Day Care Home
2017 Income Eligibiliy Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Day Care Home
2018 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Day Care Home
Annual Audit  AUDIT Download File  Download File      CACFP-Day Care Home
Application for Texas Identification Number  AP-152 Download File        CACFP-Day Care Home
CACFP - DCH Claim for Reimbursement - Contracting Entity Level    Download File  Download File  Download File    CACFP-Day Care Home
CACFP - DCH Claim for Reimbursement - Provider Level    Download File  Download File  Download File    CACFP-Day Care Home
CACFP Meal Benefit Income Eligibility Form (Child Care)    Download File  Download File      CACFP-Day Care Home
CACFP Meal Benefit Income Eligibility Form (Child Care) in Spanish    Download File  Download File      CACFP-Day Care Home

CACFP - At-Risk Afterschool

Minimize
Search Tips 
Form NameForm NumberForm
Download
Instructions
Download
Program Name
  
First Page Previous Page
12
Next Page Last Page
Page size:
select
 37 items in 2 pages
2013-2014 PEIMS School Data  PEIMS Download File        CACFP - At-Risk Afterschool
2014-2015 PEIMS School Data  PEIMS Download File        CACFP - At-Risk Afterschool
2015-2016 PEIMS School Data  PEIMS Download File        CACFP - At-Risk Afterschool
2016-2017 School Data  SCHOOL DATA Download File        CACFP - At-Risk Afterschool
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Child Care Site  AMEND 1 Download File  Download File      CACFP - At-Risk Afterschool
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site  AMEND 2 Download File  Download File      CACFP - At-Risk Afterschool
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site - Sponsor Provides Meals and Snacks  AMEND 2 Download File  Download File      CACFP - At-Risk Afterschool
Annual Audit  AUDIT Download File  Download File      CACFP - At-Risk Afterschool
Application for Texas Identification Number  AP-152 Download File        CACFP - At-Risk Afterschool
CACFP - Centers Claim for Reimbursement - Contracting Entity Level    Download File  Download File  Download File    CACFP - At-Risk Afterschool
CACFP - Centers Claim for Reimbursement - Site Level    Download File  Download File  Download File    CACFP - At-Risk Afterschool
Certificate of Authority for External Users  FND 101 Download File    Download File  Download File   CACFP - At-Risk Afterschool
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File      CACFP - At-Risk Afterschool
Certification Regarding Federal Lobbying  H2049 Download File  Download File      CACFP - At-Risk Afterschool
Claim for Reimbursement Worksheet - Meals  H4502 Download File  Download File  Download File    CACFP - At-Risk Afterschool
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs    Download File        CACFP - At-Risk Afterschool
Daily Meal Count and Attendance Record (At-Risk)  H1535-AT Download File  Download File  Download File    CACFP - At-Risk Afterschool
Daily Meal Production Record - Child Care  H1530 Download File  Download File      CACFP - At-Risk Afterschool
Direct Deposit Authorization  74-176 Download File        CACFP - At-Risk Afterschool
Documentation of Meals Served  H1540 Download File  Download File  Download File    CACFP - At-Risk Afterschool

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, 
color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.  
 
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits.  Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.
 
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:  
mail: 
U.S. Department of Agriculture 
Office of the Assistant Secretary for Civil Rights 
1400 Independence Avenue, SW 
Washington, D.C. 20250-9410; 
(2) fax: (202) 690-7442; or 
(3) email: program.intake@usda.gov.
 
This institution is an equal opportunity provider.

© 2017 Texas Department of Agriculture