Administration and Forms for CACFP

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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
Good Cause Transfer Request Form		CACFP - Day Care Home
Micro-Purchase Log		CACFP - Day Care Home
Small Purchase Log		CACFP - Day Care Home
Excess Net Cash Resources Plan for CACFP/SFSP		CACFP - Day Care Home
CACFP Serious Deficiency Process Notification Template Letters		CACFP - Day Care Home
CACFP Serious Deficiency Process Notification Form		CACFP - Day Care Home
CACFP Day Care Home Sponsor Offsite Monitoring Implementation Plan – Program Year 2024-2025		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
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
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Adult Day Care Site	AMEND 1	CACFP - Adult Day Care
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Child Care Site	AMEND 1	CACFP - At-Risk Afterschool
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Child Care Site	AMEND 1	CACFP - Child Care Center
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site	AMEND 2	CACFP - At-Risk Afterschool
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site - Sponsoring Organization Provides Meals/Snacks	AMEND 2	CACFP - At-Risk Afterschool
Application for Texas Identification Number	AP-152	CACFP - Adult Day Care
Application for Texas Identification Number	AP-152	CACFP - At-Risk Afterschool
Application for Texas Identification Number	AP-152	CACFP - Child Care Center
Application for Texas Identification Number	AP-152	CACFP - Day Care Home
Annual Audit	AUDIT	CACFP - Adult Day Care
Annual Audit	AUDIT	CACFP - At-Risk Afterschool
Annual Audit	AUDIT	CACFP - Child Care Center
Annual Audit	AUDIT	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
Governing Body Awareness	GBA	CACFP - Adult Day Care
Governing Body Awareness	GBA	CACFP - At-Risk Afterschool
Governing Body Awareness	GBA	CACFP - Child Care Center
Governing Body Awareness	GBA	CACFP - Day Care Home
Food Service Management Company/Vendor Monitor Review	H1529	CACFP - Adult Day Care
Food Service Management Company/Vendor Monitor Review	H1529	CACFP - At-Risk Afterschool
Food Service Management Company/Vendor Monitor Review	H1529	CACFP - Child Care Center
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 - Infants	H1530-A	CACFP - Child Care Center
Daily Meal Production Record - Infants	H1530-A	CACFP - Day Care Home
Documentation of Meals Claimed	H1534	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
Daily Meal Count, Attendance, and Meal Production Record (H1539)	H1539	CACFP - Day Care Home
Documentation of Meals Claimed	H1540	CACFP - Adult Day Care

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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