Forms

The forms below apply to CACFP child care centers. The date in italics after each document indicates 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   X   Y   Z  

A

Authorized Signatures

• Authorized Signatures Change Form Instructions  September 2023

B

Bids and Contracts

• Contracts in the CACFP (CSDE's Food Service Management Company webpage) 

C

Civil Rights

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

Crediting Worksheets

• Worksheet for Crediting Cooked Breakfast Cereals in the Child and Adult Care Food Program   October 2025
• Worksheet for Crediting Ready-to-eat (RTE) Breakfast Cereals in the Child and Adult Care Food Program   October 2025
• Worksheet for Crediting Cooked Breakfast Cereals in the Child and Adult Care Food Program   October 2025 

E

Enrollment Form

Updated July 2023

Child Care Centers

• English: CACFP Child Enrollment Form for Child Care Centers 
• Spanish: CACFP Child Enrollment Form for Child Care Centers
  • Programa Alimentario para Cuidado de Niños y Adultos formulario de inscripción de niño para centros de cuidados infantiles

Head Start Centers

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

F

Food Safety

• Refrigerator and Freezer Temperature Control Record   September 2023

I

Income and Expenditure Report

Updated February 2025

• Form: CACFP Nonprofit Status Income and Expenditure Report for Child Day Care Centers, Emergency Shelters, At-risk Afterschool Programs, and Adult Day Care Centers
• Instructions: 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

English

• Form: Income Eligibility Form for Child Care Centers and Head Start 
• Instructions: Income Eligibility Form for Child Care Centers and Head Start: Instructions 
• Letter: Sample Parent Letter for Child Day Care Centers

Spanish

• Form: Income Eligibility Form for Child Care Centers and Head Start
  • Solicitud de elegibilidad por ingreso para centros de cuidados infantiles y Head Start 
• Instructions: Income Eligibility Form for Child Care Centers and Head Start: Instructions  
  • Instrucciones para la solicitud de elegibilidad por ingreso para centros de cuidados infantiles y Head Start
• Letter: Sample Parent Letter for Child Day Care Centers  
  • Carta muestra a los padres para centros de cuidados diurnos y Head Start 
• Income Guidelines for Child Nutrition Programs (CSDE webpage) 
  
  

Infants

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

M

Medical Statements

• Medical Statements (CSDE's Special Diets in CACFP Child Care Programs webpage) 

Menu Forms

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

Monitoring

• Monitoring Review Form for CACFP Centers  September 2023

N

Nutrition and Physical Activity Policies

• Action Planning Form for Child Care Policies ("Documents/Forms" section of CSDE's Child Care Nutrition and Physical Activity Policies webpage)
• Self-assessment Tools ("Documents/Forms" section of CSDE's Child Care Nutrition and Physical Activity Policies webpage)

P

Production Records

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

 

S

School Food Agreement

• Sample School Food Agreement for Child Care Programs in the CACFP  January 2021

Standardized Recipes

• Standardized Recipe Form for the CACFP  February 2024