Child Eligibility Forms

FY 2014 Application and Recordkeeping Forms

Form Format
2015 Rates of Reimbursement PDF
2015 Meal Benefit Income Eligibility Form – Child Care – English PDF
2015 Meal Benefit Income Eligibility Form Instructions – Child Care PDF
2015 Meal Benefit Income Eligibility Parent FAQ Letter – Child Care PDF
2015 Meal Benefit Income Eligibility Form – Child Care – Spanish PDF
2015 Meal Benefit Income Eligibility Form Instructions – Child Care – Spanish PDF
2015 Meal Benefit Income Eligibility Parent FAQ Letter – Child Care – Spanish PDF
WIC Flyer (English and Spanish) PDF
ADE 5-Day Reconciliation Form PDF
Administrative Costs vs. Operational Costs PDF
Are These Infant Meals Reimbursable PDF
Child Care Center Monitor Evaluation Form PDF
Child Care Food Service Vendor Contract PDF
Claiming Roster PDF
Computer Generated Meal Count Agreement PDF
Daily Meal Production Record for Infants PDF
Outside Employment Policy PDF
Food Service Cost Report PDF
High Fat/High Sugar List (Child) PDF
Household Contact Procedure PDF
Household Contact Survey (Mailed) PDF
Household Contact Survey (Phone) PDF
Infant Feeding Preference Form PDF
Meal Count Summary (Child) PDF
Medical Statement for Food Substitutions (Child) PDF
Menu Form PDF
Monthly Expense Worksheet PDF
Point of Service Meal Count Sheet PDF
Production Worksheets (Child) DOC
Production Worksheets (Milk Only) PDF
Temperature Log PDF
Time Distribution Report PDF
DUNS Reporting PDF
Permanent Agreement PDF 

 

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