National School Lunch Program and School Breakfast Program - Program Forms and Resources
Calendars
- NSLP At a Glance Calendar
- NSLP At a Glance Calendar for Special Provision Options
- Verification Best Practices Calendar
- Claiming Calendar
Checklists
REMINDER: Per USDA, the Program Forms should be distributed on or around the beginning of the school year. *Forms cannot be distributed before July 1.
Application Packet
- Parent Letter for School Meals (English) (Spanish)
- Instructions for Household Application for Free and Reduced-Price Meals (English) (Spanish)
- Household Application for Free and Reduced-Price Meals (English) (Spanish)
- Parent/Guardian Consent for Sharing Information (English) (Spanish)
- Foster Outreach Letter – USDA Sample Template (PDF) (Word)
- USDA Translated School Meal Application Materials
Parent Letters for Special Provision Options
Parent Letters for the Special Milk Program
- Parent Letter collects applications and charges (English) (Spanish)
- *Use the instructions and the household application for free and reduced-price meals posted above.
- Parent Letter,does not collect applications and charges (English) (Spanish)
- Parent Letter, does not collect applications and does not charge (English) (Spanish)
Certification and Benefit Issuance
- Income Eligibility Guidelines (IEGs) for SY 23-24
- Income Eligibility Guidelines (IEGs) for SY 24-25
- Notification of Benefits Letter, School Meals (English) (Spanish)
- Notification of Benefits Letter, Special Milk (English) (Spanish)
- Notification for Free School Meals Letter, Direct Certification (English) (Spanish)
- Notification of Reduced-Price School Meals Letter, Direct Certification - Medicaid (English) (Spanish)
Verifying Household Applications
- Student Eligibility Checklist
- Error-Prone Guidelines (PDF) (Excel)
- Verification Tracking Form
- Verification for Cause Tracking Form
- Notification of Verification Letter (English) (Spanish)
- Letter of Verification Results (English) (Spanish)
- It's More Than a Meal Application
- Sources of Acceptable Income (English) (Spanish)
- Second Review Aggregate Tool
- Adult Meal Pricing Tool
- Attendance Factor Calculation Form
- Capital Expenditure Pre-Approval Request Form (Pre-Approved List)
- CNP Procurement Procedures
- CNP Written Code of Conduct
- Common Login Form (Adobe Sign)
- Non-Program Food Revenue Tool & Calculator
- Paid Lunch Equity (PLE) Tool
- Net Cash Resources Worksheet (PDF)
- Excess Cash Spending Plan
- Request for One-Time Exception Form
- State of Arizona W-9 Form
- State of Arizona ACH Authorization Form
- Prototype (Template) Hazard Analysis Critical Control Point (HACCP) Food Safety Plan
- Cooler Freezer Temperature Log
- Cooling Study Temperature Log
- Damaged Discarded Product Log
- Dish Machine Temperature Log
- Dry Storage Temperature Log
- Milk Cooler and Cleaning Temperature Log
- Receiving Log
- Reporting Issues with USDA Foods
- Sanitizer Test Strip Log
- Thermometer Calibration Log
- Orientation to the Fresh Fruit and Vegetable Program
- FFVP Addendum to the Food Program Permanent Service Agreement
- FFVP Letter for Teachers Template
- FFVP Standard Operating Procedure (SOP) Template
- FFVP Production Record Template
- FFVP Site Self-Monitoring Form
- FFVP Labor Log Template
- FFVP Monthly Service Planner SY 24-25
- Local Wellness Policy Fillable Template
- ADE Activity and Assessment Tool (District version) (School version)
- Local Wellness Policy Assessment Comparison with a Model Policy
- Local Wellness Policy Assessment Reporting Template: 4-box Design School & District Template
- Local Wellness Policy Assessment Reporting Template: Wellness Report Card (District or school template) (Sample)
- Production Record (with menu contributions) (PDF)
- Production Record (no menu contributions) (PDF)
- Production Record for Multiple Grades (PDF) (Word)
- Production Record for Afterschool Care Snack Program (PDF)
- Standardized Recipe Template
- Vegetable Subgroup Planner
- Vegetable Subgroup Quick Guide
Crediting Meal Components
- Fresh Fruit Portion Guide
- Fresh Vegetable Portion Guide
- Fruit Resource for the National School Lunch and School Breakfast Programs
- Milk Resource for the National School Lunch and School Breakfast Programs
- Meat and Meat Alternatives Resource for the National School Lunch and School Breakfast Programs
- Vegetable Resource for the National School Lunch and School Breakfast Programs
- Whole Grain Resource for the National School Lunch and School Breakfast Programs
- How to Credit Grains Using the Food Buying Guide
Weekly Menu Planners (Includes 3-Day, 4-Day, 5-Day, 6-Day, 7-Day Planners)
Point of Service (POS) Sample Signage
- USDA OVS Posters and Tip Sheets
- Offer vs. Serve Poster – Sample from Connecticut Department of Education
- Serve Only Sign - Lunch
- Offer vs. Serve Sign - Lunch
- Serve Only Sign - Breakfast
- Offer vs. Serve Sign - Breakfast
- Buy American Exception Form
- Fundraising Exemption Request
- Internal On-Site Monitoring Form - Afterschool Care Snack Program
- Internal On-Site Monitoring Form – Breakfast
- Internal On-Site Monitoring Form – Lunch
- Daily Edit Check Worksheet (for sites operating regular NSLP and Special Assistance Provision Base Year)(PDF) (Excel)
- Simplified Daily Edit Check Worksheet (for sites operating CEP and Special Assistance Provision Non-Base Year)(PDF) (Excel)
- Memorandum of Understanding (PDF) (Word)
- Record Keeping List
- Smart Snacks Calculator
- Medical Statement for Students with Special Dietary Accommodations (English) (Spanish)
- Access to CNP Applications Guidance (CNPWeb, CNP Direct Certification / Direct Verification, and CNP Verification)
- *Don’t have an Entity Administrator? Fill out this form.
- Health and Nutrition Services Entity Data Form
- HelpDesk Add/Change/Delete
- Log into ADEConnect
- Click 'Help'
- Click 'Go to Help Desk'
- Click 'New Request'
- Locate Health and Nutrition Services templates
- Select 'HNS Add/Change/Delete Form'
- Complete all required fields and applicable optional fields within HelpDesk's Add/Change/Delete form
- *User/Requestor submitting Add/Change/Delete form must be submitted by an Authorized Signer listed on the Food Permanent Service Agreement
- Manual Add/Change/Delete Form (print, sign, scan, and email)
- HelpDesk Add/Change/Delete
- Food Program Permanent Service Agreement (FPPSA)
- Manual FPPSA (print, sign 1 original, mail to ADE for approval)
- Electronic FPPSA (complete initiation form, agreement is emailed to signers directly by AdobeSign, electronic signature)
- Free and Reduced Price Policy Statement
- If applicable to your operation, please also include:
- SFA At-Risk Afterschool Meals Responsible Principals Addendum (PDF)
- Addendum- Non-Pricing
- Addendum- RCCI without Day Students
- Addendum – Special Milk Pricing
- Public Media Release
- Reimbursement Rates for SY 24-25
- If applicable to your operation, please also include:
- Unique Entity Identifier (UEI) lookup or request a UEI by visiting https://sam.gov/content/duns-uei
- Training Tracker (Director)
- Training Tracker (Manager)
- Training Tracker (Full-Time Staff)
- Training Tracker (Part-Time Staff)
- Training Tracker (Non-Program Staff)
- Hiring Tracker for Directors Hired after July 1, 2015 (10,000+ enrollment)
- Hiring Tracker for Directors Hired after July 1, 2015 (2,500-9,999 enrollment)
- Hiring Tracker for Directors Hired after July 1, 2015 (less than 2,499 enrollment)
Community Eligibility Provision (CEP)
- CEP Application Information for SY 2024-2025
- CEP Participation Form
- CEP Eligibility Worksheet
- CEP Monthly Federal Reimbursement Estimator (Excel)
- CEP Grouping Calculator
- CEP Parent Outreach Letter
- Annual Identified Student Percentage (ISP) Form
- ISP Calculation Worksheet for LEAs
- CEP Fact Sheet
Special Assistance Provisions 2 and 3
- Financial Analysis Tool
- Special Assistance Application
- Special Assistance Extension Application Packet
Free and Reduced Priced Policy Statement Addendums
- Inter-Agency Agreement (Checklist) (Template)
- Informal Catering Contract Agreement (Checklist) (Template)
- Sample Catering Specifications and Requirements
- Certificate of Independent Price Determination