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 and Instructions  September 2023

C

Crediting Worksheets

•  Crediting Worksheets for CACFP Adult Day Care Centers (CSDE's Crediting Foods in CACFP Adult Day Care Centers webpage)  

Civil Rights 

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

E

Enrollment Form

• CACFP Enrollment Form for Adult Centers  July 2023

F

Food Safety

• Refrigerator and Freezer Temperature Control Record   September 2023

I

Income and Expenditure Report

Updated February 2025

• 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

Updated January 2025

• Form: Income Eligibility Application Form for Adult Day Care Centers 
• Instructions: Instructions for the Income Eligibility Application Form for Adult Day Care Centers 
• Letter: Sample Household Letter for Nonpricing Adult Day Care Centers 
• Spanish Form: Income Eligibility Application Form for Adult Day Care Centers
  • Solicitud de elegibilidad según los ingresos para los centros de cuidado diurno para adultos
• Spanish Instructions: Instructions for the Income Eligibility Application Form for Adult Day Care Centers
  • Instrucciones para completar la solicitud de elegibilidad según los ingresos para los centros de cuidado diurno para adultos 
• Spanish Letter: Sample Household Letter for Nonpricing Adult Day Care Centers
  • Carta al grupo familiar de muestra para los centros de cuidado diurno para adultos
• Income Guidelines for Child Nutrition Programs (CSDE webpage)

M

Medical Statements

• Medical Statements (CSDE's Special Diets in CACFP Adult Day Care Centers webpage) 

Menu Forms

• Menu Forms ("Menu Forms and Production Records" section of CSDE's Meal Patterns for CACFP Adult Day Care Centers webpage)  

Monitoring

• Monitoring Review Form for CACFP Centers  September 2023

P

Production Records

• Production Records ("Menu Forms and Production Records" section of CSDE's Meal Patterns for CACFP Adult Day Care Centers webpage)  

S

Standardized Recipes

• Standardized Recipe Form for the CACFP  September 2023