Overview

School Nutrition Programs | Manuals | Program Guidance | Resources | Nutrition Education

The forms below are for the U.S. Department of Agriculture's (USDA) school nutrition programs, including the School Breakfast Program (SBP), National School Lunch Program (NSLP), Seamless Summer Option (SSO) of the NSLP, Afterschool Snack Program (ASP) of the NSLP, Fresh Fruit and Vegetable Program (FFVP), and Special Milk Program (SMP). For guidance on program requirements, CSDE's Program Guidance for School Nutrition Programs webpage.

Note: The date in italics after each document is the 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   W   X   Y   Z  

A

• A la Carte Food Cost and Price Charged Comparison Worksheet: "Nonprogram Foods" section of CSDE's Financial Management for School Nutrition Programs webpage
• Action Planning Form  April 2023
• Addenda (Free and Reduced Applications): "Documents/Forms" section of CSDE's Eligibility for Free and Reduced-price Meals and Free Milk in School Nutrition Programs webpage
• Administrative Review
• Menu Documentation Organizational Tool (MDOT)  April 2023
• Sample Administrative Review Organizational Tool (AROT)  April 2023
• Sample Administrative Review Organizational Tool (AROT) for Residential Child Care Institutions (RCCIs) and 100 Percent Community Eligibility (CEP) Districts  April 2023 
• Afterschool Snack Program (ASP): "Documents/Forms" section of CSDE's Afterschool Snack Program webpage
• Application for Free and Reduced-price School Meals or Free Milk: "Documents/Forms" section of CSDE's Eligibility for Free and Reduced-price Meals and Free Milk in School Nutrition Programs webpage
• Authorized Signatures: Authorized Signatures Change Form and Instructions  September 2023

B

• Buy American Justification Form  September 2023

C

• Certification of Meal Pattern Compliance: "Document/Forms" section of CSDE's Certification of Meal Pattern Compliance for School Nutrition Programs webpage
• Civil Rights: "School Nutrition Programs" section of CSDE's Civil Rights for Child Nutrition Programs webpage
  • Sample Civil Rights Complaint Procedures for School Nutrition Programs  February 2023 
  • Sample Taglines Form  June 2023
• Community Eligibility Provision (CEP): "Documents/Forms" section of CSDE's Community Eligibility Provision (CEP) webpage
• Connecticut Nutrition Standards (CNS) Worksheets: "How to" section of CSDE's CNS webpage 

D

• Disclosure Release: Disclosure Release Request for Free or Reduced Eligibility Status of Students in the School Nutrition Programs  April 2024
  • USDA Memo SP 16-2016, CACFP 06-2016, SFSP 10-2016: Disclosure Requirements for the Child Nutrition Programs
• District Benefit Issuance: District Benefit Issuance Excel Spreadsheet (DBIES)   April 2023

E

• Edit Check Forms: "Documents/Forms" section of CSDE's Meal Counting and Claiming for School Nutrition Programs webpage
• Equipment Purchase Approval Request Form: "Capital Expenditure Requests and Equipment Approvals" section of CSDE's Financial Management for School Nutrition Programs webpage
• Exemption Requests
  • Lunch Period Waiver: Circular Letter C-9: Federal and State Requirements for Provision and Timeframe of Daily Lunch Period for Students 
  • Meal Pattern Exception Request Form for Residential Child Care Institutions (RCCIs)  September 2023
  • Weekend or Vacation Waiver: FNS 786-7 Rev. 2: Reimbursement for Meals and Milk Served on Weekends  

F

• Family Application for Free and Reduced-price School Meals or Free Milk: "Documents/Forms" section of CSDE's Eligibility for Free and Reduced-price Meals and Free Milk in School Nutrition Programs webpage
• Food Distribution Program: USDA Foods
• Food Service Management Company: School Food Authority/Food Service Management Company Monitoring Form  November 2023
• Free and Reduced-price Meals: "Documents/Forms" section of CSDE's Eligibility for Free and Reduced-price Meals and Milk in School Nutrition Programs webpage
• Fundraisers: Sample Fundraiser Form for Healthy Food Certification (HFC)  July2023

H

• HFC Documentation Forms: "Documents/Forms" section of CSDE's HFC webpage

 

I

• Interschool Agreements
• Full-service Interschool Agreement Form  April 2024
• Recipient Site Vended Interschool Agreement  April 2024

M

• Meal Count Forms: "Documents/Forms" section of CSDE's Meal Counting and Claiming for School Nutrition Programs webpage
  • Meal Application and Data Management Process Form  August 2023
  • Site Information on Money Collection and Point-of-Service Meal Count Systems Form  August 2023
• Media Release: Press Release
• Medical Statements: "Documents/Forms" section of CSDE's Special Diets in School Nutrition Programs webpage
• Menu Forms for Preschoolers: "Documents/Forms" section of CSDE's Meal Patterns for Preschoolers in School Nutrition Programs webpage
• Menu Planning Checklists for Lunch for Grades K-12
  • Five-day Week Lunch Menu Planning Checklist: Grades K-5  June 2023
  • Five-day Week Lunch Menu Planning Checklist: Grades 6-8  June 2023
  • Five-day Week Lunch Menu Planning Checklist: Grades 9-12  June 2023
  • Five-day Week Lunch Menu Planning Checklist: Grades K-8  June 2023
  • Seven-day Week Lunch Menu Planning Checklist: Grades 6-8  June 2023
  • Seven-day Week Lunch Menu Planning Checklist: Grades K-5  June 2023
  • Seven-day Week Lunch Menu Planning Checklist: Grades 9-12  June 2023
  • Seven-day Week Lunch Menu Planning Checklist: Grades K-8  June 2023
• Monitoring Forms
  • ASP: Afterschool Snack Program (ASP) On-site Monitoring Form April 2023
  • FSMC: School Food Authority/Food Service Management Company Monitoring Form  February 2023
  • NSLP: School Food Authority On-site Review Checklist for the National School Lunch Program  November 2023
  • SBP: School Food Authority On-site Review Checklist for the School Breakfast Program  September 2023
  • SSO: Seamless Summer Option (SSO) Sponsor Monitor Site Review Form September 2023
  • Overview of Meal Counting and Claiming Process  September 2023

N

• Nonprogram Foods Pricing Worksheets (Adult Meals and A La Carte Sales): "Nonprogram Foods" section of CSDE's Financial Management for School Nutrition Programs webpage

P

• Paid Lunch Equity: "Paid Lunch Equity" section of CSDE's Financial Management for School Nutrition Programs webpage
• Parent/Guardian Notification Letters (Free and Reduced Applications): "Documents/Forms" section of CSDE's Eligibility for Free and Reduced-price Meals and Free Milk in School Nutrition Programs webpage
• Policy Statement for Free and Reduced-price Meals, Afterschool Snack Programs, and Free Milk  August 2023
• Press Release
  • Sample Press Release for the SSO  February 2023
  • Sample Public Media Release for Connecticut School Nutrition Programs  June 2023
  • Sample Public Media Release for Connecticut School Nutrition Programs: STABLE Funds Version  August 2023
• Procurement: "Documents/Forms" section of CSDE's Procurement for School Nutrition Programs webpage 
• Production Records for Grades K-12 in the NSLP and SBP: "Documents/Forms" section of CSDE's Production Records for School Nutrition Programs webpage 
• Production Records for Preschoolers in the NSLP, SBP and ASP: "Documents/Forms" section of CSDE's Meal Patterns for Preschoolers in School Nutrition Programs webpage 
• Production Records for the Afterschool Snack Program (ASP): "Documents/Forms" section of CSDE's ASP webpage 
• Professional Standards Tracking Log  September 2023

R

• Refrigerator and Freezer Temperature Control Record   September 2023

S

• Seamless Summer Option (SSO) of the NSLP: "Documents/Forms" section of CSDE's SSO webpage
• Snack Count Forms for the ASP (Not Site Area Eligible): "Documents/Forms" section of CSDE's ASP webpage 
• Snack Count Forms for the ASP (Site Area Eligible): "Documents/Forms" section of CSDE's ASP webpage 
• Special Milk Program (SMP): "Documents/Forms" section of CSDE's SMP webpage
• Standardized Recipe Form for School Nutrition Programs  February 2024

U

• USDA Foods 
  • USDA Foods Transfer Request Form  August2023
  • USDA Foods Order and Donation Forms: "Order and Donation Forms for COVID-19-related Excess Direct Delivery Inventory at HPC" section of CSDE's Food Distribution Program webpage
  • USDA Foods Ordering Worksheets: "Web-Based Supply Chain Management (WBSCM)" section of CSDE's Food Distribution Program webpage

V

• Verification: "Documents/Forms" section of CSDE's Verification Procedures for School Nutrition Programs webpage

Y 

• Yield Study Form for Child Nutrition Programs (CSDE)  February 2024