Documents/Forms

 The date in italics after each document is the most current revision date.

A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   X   Y   Z  

A

Authorized Signatures

• Authorized Signatures Change Form  April 2021
• Authorized Signatures Change Form Instructions  April 2021

C

Crediting Worksheets

• See CSDE Crediting Worksheets for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Crediting Foods in CACFP Adult Day Care Centers webpage)  

Civil Rights 

• See Civil Rights Requirements for the CACFP (CSDE's Civil Rights for Child Nutrition Programs webpage) 

E

Enrollment Form

• CACFP Enrollment Form for Adult Centers  January 2022

F

Food Safety

• Alternate QFO Statement
• Food Safety for Child Nutrition Programs (CSDE webpage)
• Food Service Employee Training Record for Sanitation and Food Safety 
• On-site Training Record for Sanitation and Food Safety
• Qualified Food Operator (QFO) Responsibilities for Connecticut Child Nutrition Programs
• Refrigerator and Freezer Temperature Control Record

I

Income and Expenditure Report

• CACFP Nonprofit Status Income and Expenditure Report for Child Day Care Centers, Emergency Shelters, At-risk Afterschool Programs, and Adult Day Care Centers  January 2022
• Instructions for CACFP Nonprofit Status Income and Expenditure Report for Child Day Care Centers, Emergency Shelters, At-risk Afterschool Programs, and Adult Day Care Centers  January 2022

Income Eligibility

• Form: Income Eligibility Application Form for Adult Day Care Centers  September 2021
• Instructions: Instructions for the Income Eligibility Application Form for Adult Day Care Centers September 2021
• Letter: Sample Household Letter for Nonpricing Adult Day Care Centers July 2022
• Spanish Form: Income Eligibility Application Form for Adult Day Care Centers September 2021
  • Solicitud de elegibilidad según los ingresos para los centros de cuidado diurno para adultos
• Spanish Instructions: Instructions for the Income Eligibility Application Form for Adult Day Care Centers September 2021
  • Instrucciones para completar la solicitud de elegibilidad según los ingresos para los centros de cuidado diurno para adultos 
• Spanish Letter: Sample Household Letter for Nonpricing Adult Day Care Centers July 2022
  • Carta al grupo familiar de muestra para los centros de cuidado diurno para adultos
• Income Guidelines for Child Nutrition Programs (CSDE webpage)

M

Medical Statements

• See Medical Statements for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Special Diets in CACFP Adult Day Care Centers webpage) 

Menu Forms

• See Menu Forms for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Meal Patterns for CACFP Adult Day Care Centers webpage)  

Monitoring

• Monitoring Review Form for CACFP Centers  December 2014

P

Production Records

• See Production Records for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Meal Patterns for CACFP Adult Day Care Centers webpage)  

S

Standardized Recipes

• Standardized Recipe Form for the CACFP  September 2021