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, visit the CSDE's Program Guidance for School Nutrition Programs webpage.

Note: 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   W   X   Y   Z  

A

• Action Planning Form  January 2022
• Addenda (Free and Reduced Applications): Visit the "Documents/Forms" section of the CSDE's Eligibility for Free and Reduced-price Meals and Free Milk in School Nutrition Programs webpage
• Administrative Review
• Menu Documentation Organizational Tool (MDOT)  January 2020
• Sample Administrative Review Organizational Tool (AROT)  January 2020
• Sample Administrative Review Organizational Tool (AROT) for Residential Child Care Institutions (RCCIs) and 100 Percent Community Eligibility (CEP) Districts  January 2020   
• Afterschool Snack Program (ASP): Visit the "Documents/Forms" section of the CSDE's Afterschool Snack Program webpage
• Application for Free and Reduced-price School Meals or Free Milk: Visit the "Documents/Forms" section of the 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  June 2022

B

• Buy American Justification Form  May 2022

C

• Certification of Meal Pattern Compliance: Visit the "Document/Forms" section of the CSDE's Certification of Meal Pattern Compliance for School Nutrition Programs webpage
• Civil Rights: Visit the "School Nutrition Programs" section of the CSDE's Civil Rights for Child Nutrition Programs webpage
  • Sample Civil Rights Complaint Procedures for School Nutrition Programs (July 2022) 
  • Sample Taglines Form (June 2022)
• Community Eligibility Provision (CEP): Visit the "Documents/Forms" section of the CSDE's Community Eligibility Provision (CEP) webpage
• Connecticut Nutrition Standards (CNS) Worksheets: Visit the "How to" section of the CSDE's CNS webpage 

D

• Disclosure Release: Disclosure Release Request for Free or Reduced Eligibility Status of Students in the School Nutrition Programs  June 2022
  • USDA Memo SP 16-2016, CACFP 06-2016, SFSP 10-2016: Disclosure Requirements for the Child Nutrition Programs  December 2015
• District Benefit Issuance: District Benefit Issuance Excel Spreadsheet (DBIES)   February 2018

E

• Edit Check Forms: Visit the "Documents/Forms" section of the CSDE's Meal Counting and Claiming for School Nutrition Programs webpage
• Equipment Purchase Approval Request Form: Visit the "Capital Expenditure Requests and Equipment Approvals" section of the CSDE's Financial Management for School Nutrition Programs webpage
• Exemption Requests
  • COVID Waiver Applications ("How To" section of CSDE's Operating Child Nutrition Programs during COVID-19 webpage)
  • Lunch Period Waiver: Circular Letter C-9: Federal and State Requirements for Provision and Timeframe of Daily Lunch Period for Students  November 2000
  • Meal Pattern Exception Request Form for Residential Child Care Institutions (RCCIs)  February 2022
  • Weekend or Vacation Waiver: FNS 786-7 Rev. 2: Reimbursement for Meals and Milk Served on Weekends  November 2010

F

• Family Application for Free and Reduced-price School Meals or Free Milk: Visit the "Documents/Forms" section of the CSDE's Eligibility for Free and Reduced-price Meals and Free Milk in School Nutrition Programs webpage
• Food Distribution Program (see USDA Foods)
• Food Safety
  • Alternate QFO Statement  January 2021
  • Food Service Employee Training Record for Sanitation and Food Safety   June 2022
  • On-site Training Record for Sanitation and Food Safety   June 2022
  • Refrigerator and Freezer Temperature Control Record   June 2022
• Food Service Management Company: School Food Authority/Food Service Management Company Monitoring Form  October 2022
• Free and Reduced-price Meals: Visit the "Documents/Forms" section of the 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)  January 2022

H

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

 

I

• Interschool Agreements
• Full-service Interschool Agreement Form  February 2022
• Recipient Site Vended Interschool Agreement  February 2022

M

• Meal Count Forms: Visit the "Documents/Forms" section of the CSDE's Meal Counting and Claiming for School Nutrition Programs webpage
• Meal Counts
  • Meal Application and Data Management Process Form  August 2022
  • Site Information on Money Collection and Point-of-Service Meal Count Systems Form  August 2022
• Media Release (see Public Media Release)
• Medical Statements: Visit the "Documents/Forms" section of the CSDE's Special Diets in School Nutrition Programs webpage
• Menu Forms for Preschoolers: Visit the "Documents/Forms" section of the 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  December 2022
  • Five-day Week Lunch Menu Planning Checklist: Grades 6-8  December 2022
  • Five-day Week Lunch Menu Planning Checklist: Grades 9-12  December 2022
  • Five-day Week Lunch Menu Planning Checklist: Grades K-8  December 2022
  • Seven-day Week Lunch Menu Planning Checklist: Grades 6-8  December 2022
  • Seven-day Week Lunch Menu Planning Checklist: Grades K-5  December 2022
  • Seven-day Week Lunch Menu Planning Checklist: Grades 9-12  December 2022
  • Seven-day Week Lunch Menu Planning Checklist: Grades K-8  December 2022
• Monitoring Forms
  • ASP: Afterschool Snack Program (ASP) On-site Monitoring Form July 2022
  • FSMC: School Food Authority/Food Service Management Company Monitoring Form  October 2022
  • NSLP: School Food Authority On-site Review Checklist for the National School Lunch Program  October 2022
  • SBP: School Food Authority On-site Review Checklist for the School Breakfast Program  October 2022
  • SSO: Seamless Summer Option (SSO) Sponsor Monitor Site Review Form October 2022
  • Overview of Meal Counting and Claiming Process  August 2022

N

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

P

• Paid Lunch Equity: Visit the "Paid Lunch Equity" section of the CSDE's Financial Management for School Nutrition Programs webpage
• Parent/Guardian Notification Letters (Free and Reduced Applications): Visit the "Documents/Forms" section of the 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 2022
• Press Release (see Public Media Release)
• Procurement: Visit the "Documents/Forms" section of the CSDE's Procurement for School Nutrition Programs webpage 
• Production Records for Grades K-12 in the NSLP and SBP: Visit the "Documents/Forms" section of the CSDE's Production Records for School Nutrition Programs webpage 
• Production Records for Preschoolers in the NSLP, SBP and ASP: Visit the "Documents/Forms" section of the CSDE's Meal Patterns for Preschoolers in School Nutrition Programs webpage 
• Production Records for the Afterschool Snack Program (ASP): Visit the "Documents/Forms" section of the CSDE's ASP webpage 
• Professional Standards Tracking Log  October 2022
• Public Media Release: Sample Public Media Release for Connecticut School Nutrition Programs  August 2022

S

• Seamless Summer Option (SSO) of the NSLP: Visit the "Documents/Forms" section of the CSDE's SSO webpage
• Snack Count Forms for the ASP (Not Site Area Eligible): Visit the "Documents/Forms" section of the CSDE's ASP webpage 
• Snack Count Forms for the ASP (Site Area Eligible): Visit the "Documents/Forms" section of the CSDE's ASP webpage 
• Special Milk Program (SMP): Visit the "Documents/Forms" section of the CSDE's SMP webpage
• Standardized Recipe Form for School Nutrition Programs  June 2022

U

• USDA Foods 
  • USDA Foods Transfer Request Form  March 2022
  • USDA Foods Order and Donation Forms: Visit the "Order and Donation Forms for COVID-19-related Excess Direct Delivery Inventory at HPC" section of the CSDE's Food Distribution Program webpage
  • USDA Foods Ordering Worksheets: Visit the "Web-Based Supply Chain Management (WBSCM)" section of the CSDE's Food Distribution Program webpage

V

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

Y 

• Yield Study Form for Child Nutrition Programs (CSDE)  June 2022