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  

C

Crediting Worksheets

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

Civil Rights 

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

E

Enrollment Form

• CACFP Child Enrollment Form for Family Day Care Homes (English)  January 2022
• CACFP Child Enrollment Form for Family Day Care Homes (Spanish)  January 2022
  • CACFP Formulario de inscripción de niño para cuidados diurnos en hogar familiar

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 Day Care Home Sponsor Administrative Costs January 2022
• Instructions for CACFP Nonprofit Status Income and Expenditure Report for Day Care Home Sponsor Administrative Costs  January 2022

Income Eligibility 

Income Eligibility Application for Family Day Care Homes September 2021

• Form: Income Eligibility Application for Family Day Care Home Providers
• Instructions: Instructions for the Income Eligibility Application for Family Day Care Home Providers
• Letter: Sample Parent Letter for Family Day Care Providers 
• Spanish Form: Income Eligibility Application for Family Day Care Home Providers 
  • Solicitud de elegibilidad por ingreso para proveedores de cuidados diurnos en hogar familiar
• Spanish Instructions: Instructions for the Income Eligibility Application for Family Day Care Providers  
  • Instrucciones para la solicitud de elegibilidad por ingreso para proveedores de cuidados diurnos en hogar familia
• Spanish Letter: Sample Parent Letter for Family Day Care Providers
  • Carta muestra al proveedor de cuidados diurnos en hogar familiar



Income Eligibility Application for Tier II Family Day Care Homes  September 2021

• Form: Income Eligibility Application for Households in Tier II Family Day Care Homes 
• Instructions: Instructions for the Income Eligibility Application for Households in Tier II Family Day Care Homes
• Letter: Sample Parent Letter for Households in Tier II Family Day Care Homes 
• Spanish Form: Income Eligibility Application for Households in Tier II Family Day Care Homes 
  • Solicitud de elegibilidad por ingreso para hogares de cuidados diurnos en hogar familiar – nivel II
• Spanish Instructions: Instructions for the Income Eligibility Application for Households in Tier II Family Day Care Homes
  • Instrucciones para la solicitud de elegibilidad por ingreso para hogares de cuidados diurnos en hogar familiar – nivel II
  Spanish Letter: Sample Parent Letter for Households in Tier II Family Day Care Homes 
  • Carta muestra a los padrespara hogares de cuidados diurnos en Hogar familiar – nivel II



Income Eligibility Application for Provider's Own Children  September 2021

• Form: Income Eligibility Application for Family Day Care Home Provider's Own Children
• Instructions: Instructions for the Income Eligibility Application for Family Day Care Home Provider's Own Children 
• Letter: Sample Parent Letter for Family Day Care Providers' Own Children  
• Spanish Form: Income Eligibility Application for Family Day Care Home Provider's Own Children 
  • Solicitud de elegibilidad por ingreso para niños propios de proveedores de cuidados diurnos en hogar familiar
• Spanish Instructions: Instructions for the Income Eligibility Application for Family Day Care Home Provider's Own Children 
  • Instrucciones para la solicitud de elegibilidad por ingreso para niños propios de proveedores de cuidados diurnos en hogar familiar
• Spanish Letter: Sample Parent Letter for Family Day Care Providers' Own Children 
  • Carta muestra para niños propios de proveedores de cuidados diurnos en hogarf amiliar

Infants

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

M

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)  July 2019

Menu Forms

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

Monitoring

• Monitoring Review Form

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

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

S

Standardized Recipes

• Standardized Recipe Form for the CACFP  September 2021