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  • Required Entity Organization Application Forms

Required Entity Organization Application Forms

 

  • ADEConnect Entity Administrator Form (if applicable)
  • State of Arizona W-9 Form
  • Nonprofit 501c3 from the IRS (if applicable)
  • Add/Change/Delete Form (ACD)
    • Manual Form (print, sign, scan and email)
    • Electronic Form (access and fill out online, electronic signature)
      • The “Applicable Program” at the top of the form MUST be selected in order for the request to be processed.
      • The initiator of the form must also be an authorized signer.
  • Arizona Department Health Services License (if applicable)
  • Unique Entity Identifier (UEI) lookup or request a UEI by visiting https://sam.gov/content/duns-uei
  • Initiation Form For Electronic Food Program Permanent Service Agreement
  • Certification Regarding Debarment
  • Certification Regarding Lobbying
  • Free and Reduced-Price Policy Statement
    • If applicable to your operation, please also include:
      • SFA At-Risk Afterschool Meals Responsible Principals Addendum (PDF)
      • Addendum- Provision 2
      • Addendum- Provision 3
      • Addendum- Community Eligibility Provision (CEP)
      • Addendum- Non-Pricing
      • Addendum- RCCI without Day Students
      • Addendum – Special Milk Pricing
  • Civil Rights Pre-Award Compliance Form
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  • Food Service Vendor Contract (if applicable)
    • Inter-Agency Catering Agreement (Checklist) (Template) 
    • Inter-Agency Agreement (Checklist) (Template)
    • Informal Catering Contract Agreement (Checklist) (Template) 
    • Sample Catering Specifications and Requirements
    • Certificate of Independent Price Determination

 

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