Documents/Forms
The date in italics after each document is the most current revision date.
Authorized Signatures
Bids
- CACFP Sample Invitation to Bid Announcement January 2019
- CACFP Sample Recommendation for Bid Award January 2019
Crediting Worksheets
- See CSDE Crediting Worksheets for CACFP Child Care Programs (Documents Forms section of the CSDE's Crediting Foods in CACFP Child Care Programs webpage)
Civil Rights
- See Civil Rights Requirements for the CACFP (CSDE's Civil Rights for Child Nutrition Programs webpage)
Enrollment Form
- CACFP Child Enrollment Form for Child Care Centers (English) January 2020
- CACFP Child Enrollment Form for Child Care Centers (Spanish) January 2020
- CACFP Child Enrollment Form for Head Start Centers (English) January 2020
- CACFP Child Enrollment Form for Head Start Centers (Spanish) January 2020
Food Safety
- Alternate QFO Statement August 2019
- Food Safety for Child Nutrition Programs (CSDE webpage)
- Food Service Employee Training Record for Sanitation and Food Safety August 2019
- On-site Training Record for Sanitation and Food Safety August 2019
- Qualified Food Operator (QFO) Responsibilities for Connecticut Child Nutrition Programs August 2019
- Refrigerator and Freezer Temperature Control Record August 2019
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 2020
- 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 December 2019
Income Eligibility
July 2020
- Income Eligibility Form for Child Care Centers and Head Start (English)
- Income Eligibility Form for Child Care Centers and Head Start (Spanish)
- Income Eligibility Form for Child Care Centers and Head Start: Instructions (English)
- Income Eligibility Form for Child Care Centers and Head Start: Instructions (Spanish)
- Income Guidelines for Child Nutrition Programs (CSDE webpage)
- Sample Parent Letter for Child Day Care Centers (English)
- Sample Parent Letter for Child Day Care Centers (Spanish)
Infants
July 2020
- See Infant Forms (Documents Forms section of the CSDE's Feeding Infants in CACFP Child Care Programs webpage)
Medical Statements
- See Medical Statements for CACFP Child Care Programs (Documents Forms section of the CSDE's Special Diets in CACFP Child Care Programs webpage)
Menu Forms
July 2020
- See Menu Forms (Documents Forms section of the CSDE's Meal Patterns for CACFP Child Care Programs webpage)
Monitoring
- Monitoring Review Form for CACFP Centers December 2014
Nutrition and Physical Activity Policies
- Action Planning Form for Child Care Policies February 2016
- Child Care Nutrition and Physical Activity Policies (CSDE webpage)
- Self-assessment: Communication and Promotion February 2011
- Self-assessment: Eating Environment February 2011
- Self-assessment: Evaluation February 2011
- Self-assessment: Nutrition Education February 2011
- Self-assessment: Nutrition Standards February 2011
- Self-assessment: Physical Activity February 2011
Production Records
July 2020
- See Production Records (Documents Forms section of the CSDE's Meal Patterns for CACFP Child Care Programs webpage)
School Food Agreement
- CACFP Sample School Food Agreement September 2019
Standardized Recipes
- Standardized Recipe Form for the CACFP July 2020