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

B

Bids and Contracts

• Contracts in the CACFP (CSDE's Food Service Management Company webpage)  January 2021

C

Civil Rights

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

Crediting Worksheets

• Crediting Worksheets for CACFP Child Care Programs (Documents/Forms section of the CSDE's Crediting Foods in CACFP Child Care Programs webpage)  

E

Enrollment Form

• CACFP Child Enrollment Form for Child Care Centers (English)  January 2022
• CACFP Child Enrollment Form for Child Care Centers (Spanish)  January 2022
  • Programa Alimentario para Cuidado de Niños y Adultos formulario de inscripción de niño para centros de cuidados infantiles 
• CACFP Child Enrollment Form for Head Start Centers (English)  January 2022
• CACFP Child Enrollment Form for Head Start Centers (Spanish)  January 2022
  • Programa Alimentario para Cuidado de Niños y Adultos formulario de inscripción de niño para centros Head Start  

F

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

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 Form for Child Care Centers and Head Start  September 2021
• Instructions: Income Eligibility Form for Child Care Centers and Head Start: Instructions  September 2021
• Letter: Sample Parent Letter for Child Day Care Centers  September 2021
• Spanish Form: Income Eligibility Form for Child Care Centers and Head Start
  • Solicitud de elegibilidad por ingreso para centros de cuidados infantiles y Head Start  September 2021
• Spanish Instructions: Income Eligibility Form for Child Care Centers and Head Start: Instructions  September 2021 
  • Instrucciones para la solicitud de elegibilidad por ingreso para centros de cuidados infantiles y Head Start
• Spanish Letter: Sample Parent Letter for Child Day Care Centers  September 2021
  • Carta muestra a los padres para centros de cuidados diurnos y Head Start 
• Income Guidelines for Child Nutrition Programs (CSDE webpage) 
  
  

Infants

• Infant Forms (Documents/Forms section of the CSDE's Feeding Infants in CACFP Child Care Programs webpage) 

M

Medical Statements

• Medical Statements for CACFP Child Care Programs (Documents/Forms section of the CSDE's Special Diets in CACFP Child Care Programs webpage)  July 2019

Menu Forms

• 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

N

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

P

Production Records

• Production Records (Documents/Forms section of the CSDE's Meal Patterns for CACFP Child Care Programs webpage) 

S

School Food Agreement

• Sample School Food Agreement for Child Care Programs in the CACFP  January 2021

Standardized Recipes

• Standardized Recipe Form for the CACFP  September 2021