Program Forms and Resources FDCH

The following are program forms and resources for day care home operators of the Child and Adult Care Food Program.

Adding or Renewing a Provider

• ADE Template Provider Application Form (English) (Spanish)
• Income Eligibility Guidelines Effective July 1, 2024 - June 30, 2025
• Income Eligibility Guidelines Effective July 1, 2025 - June 30, 2026
• Meal Benefit Income Eligibility Form (English) (Spanish)
• Meal Benefit Income Eligibility Letter
  • Provider (English) (Spanish)
  • Parent (English) (Spanish)
• Meal Benefit Income Eligibility Form Instructions (English) (Spanish)
• Provider Tiering Determination
• Tier I FAQ (English) (Spanish)
• Free and Reduced-Price Percentage Report
• ADE Template Child Enrollment Forms (English) (Spanish)
• Provider Application Change Form
• Child Care Standards if the provider is unlicensed/AA (English) (Spanish)

Required Postings

• Building for the Future Flier
• Current WIC Flier (English) (Spanish) 
• To order And Justice for All posters email [email protected]

Menu Resources

• Child and Adult Meal Pattern Requirements
• KidKare Provider Agreement (English) (Spanish)
• Menu Modifications Form (English)
• Menu Modification Flowchart
• Sample Menus
• Team Nutrition Training Worksheets
  • Identifying Whole Grain-Rich Foods For the CACFP
  • Choose Breakfast Cereals That Are Lower in Sugar
  • Choose Yogurts That Are Lower in Sugar
  • Grain-Based Desserts in the CACFP
• American Academy of Pediatrics – Choking Prevention

Operational

• Day Care Home Provider Visit and Monitoring Evaluation Form

Household Contact Procedure

• Household Contact Procedures
• Household Contacts Parent Survey (Phone)

Recordkeeping Resources

• Provider Recordkeeping & Review Preparation Checklist
• FDCH Provider Supporting Documentation Form