Documents/Forms

Authorized Signatures

• Authorized Signatures Change Form
• Authorized Signatures Change Form Instructions

Bids

• CACFP Sample Invitation to Bid Announcement
• CACFP Sample Recommendation for Bid Award

Crediting Worksheets

• Child Care Worksheet 1: Crediting Purchased Grains in the CACFP
• Child Care Worksheet 2: Crediting Breakfast Cereals in the CACFP
• Child Care Worksheet 3: Crediting Cooked Breakfast Cereals in the CACFP
• Child Care Worksheet 4: Crediting Family-size Recipes for Grains in the CACFP
• Child Care Worksheet 5: Crediting Quantity Recipes for Grains in the CACFP
• Child Care Worksheet 6: Evaluating Processed Fruits and Vegetables for Compliance with the Connecticut Child Care Nutrition Standards (CCCNS)
• Child Care Worksheet 7: Evaluating Soups for Compliance with the CCCNS
• Child Care Worksheet 8: Evaluating Meat/Meat Alternates for Compliance with the CCCNS
• Child Care Worksheet 9: Crediting Yogurt in the CACFP
• Child Care Worksheet 10: Nutrient Analysis of Recipes

Civil Rights 

• CACFP Civil Rights Beneficiary Data Collection Form
• CACFP Civil Rights Potential Beneficiary Data Collection Form
• CACFP Civil Rights Pre-award Survey
• Civil Rights in Child Nutrition Programs (CSDE webpage)

Enrollment Form

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

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

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
• 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

Income Eligibility

• Income Eligibility Form for Child Care Centers and Head Start (English)
• Income Eligibility Form for Child Care Centers and Head Start (Spanish)
  • Solicitud de elegibilidad por ingreso para centros de cuidados infantiles y Head Start
• Income Eligibility Form for Child Care Centers and Head Start: Instructions (English)
• Income Eligibility Form for Child Care Centers and Head Start: Instructions (Spanish)
  • Instrucciones para la solicitud de elegibilidad por ingreso para centros de cuidados infantiles y Head Start
• 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)
  • Carta muestra a los padres para centros de cuidados diurnos y Head Start

Infants

• Infant Formula Form: Accepting/Rejecting Infant Formula in the CACFP (English) 
• Infant Formula Form: Accepting/Rejecting Infant Formula in the CACFP (Spanish)
  • Aceptar/rechazar formula para infantes del Programa de Alimentos para el Cuidado de Niños y Adultos (CACFP)
• Infant Menu Form: Five-day
• Infant Menu Form: Seven-day

Medical Statements

• Medical Statement for Meal Modifications in CACFP Child Care Programs (English)
• Medical Statement for Meal Modifications in CACFP Child Care Programs (Spanish)  
  • Declaración médica para la modificación de alimentos en los programas de cuidado infantil del Programa de Alimentos para el Cuidado de Niños y Adultos (CACFP)
• Guidance and Instructions: Medical Statement for Meal Modifications in CACFP Child Care Programs (English)
• Guidance and Instructions: Medical Statement for Meal Modifications in CACFP Child Care Programs (Spanish)
  • Orientación e instrucciones: Declaración médica para la modificación de alimentos en los programas de cuidado infantil del Programa de Alimentos para el Cuidado de Niños y Adultos (CACFP)

Menu Forms

• Menu Form: AM and PM Snack for Ages 1-2
• Menu Form: AM Snack and PM Snack for Ages 3-5
• Menu Form: AM Snack, Breakfast, and PM Snack for Ages 3-5
• Menu Form: AM Snack, Lunch, and PM Snack for Ages 3-5
• Menu Form: AM, PM, and Evening Snack for Ages 6-18 in Emergency Shelters
• Menu Form: At-risk Snack and Supper for Ages 6-18
• Menu Form: At-risk Snack for Ages 6-18
• Menu Form: Breakfast and PM Snack for Ages 3-5
• Menu Form: Breakfast and PM Snack for Ages 6-12
• Menu Form: Breakfast, Lunch, and Snack for Ages 1-2
• Menu Form: Breakfast, Lunch, and Snack for Ages 3-5
• Menu Form: Breakfast, Lunch, and Snack for Ages 6-12
• Menu Form: Breakfast, Lunch, and Supper for Ages 6-18 in Emergency Shelters
• Menu Form: Two-week AM or PM Snack for Ages 3-5
• Menu Form: Two-weeks At-risk Supper for Ages 6-18

Monitoring

• Monitoring Review Form for CACFP Centers

Nutrition and Physical Activity Policies

• Action Planning Form for Child Care Policies
• Child Care Nutrition and Physical Activity Policies (CSDE webpage)
• Self-assessment: Communication and Promotion
• Self-assessment: Eating Environment
• Self-assessment: Evaluation
• Self-assessment: Nutrition Education
• Self-assessment: Nutrition Standards
• Self-assessment: Physical Activity

Production Records

• Child Care Menu Production Record for AM Snack and PM Snack
• Child Care Menu Production Record for AM Snack, Lunch, and PM Snack
• Child Care Menu Production Record for Any Meal
• Child Care Menu Production Record for At-risk Snack and Supper
• Child Care Menu Production Record for Breakfast and PM Snack
• Child Care Menu Production Record for Breakfast, AM Snack, and PM Snack
• Child Care Menu Production Record for Breakfast, Lunch, and Snack (AM or PM)
• Child Care Menu Production Record for Breakfast, Lunch, and Supper in Emergency Shelters

School Food Agreement

• CACFP Sample School Food Agreement

Standardized Recipes

• CACFP Standardized Recipe Form