Forms
The forms below apply to CACFP family day care homes. The date in italics after each document indicates the current revision date.
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 January 2026
- Worksheet for Crediting Ready-to-eat (RTE) Breakfast Cereals in the Child and Adult Care Food Program January 2026
- Worksheet for Crediting Cooked Breakfast Cereals in the Child and Adult Care Food Program January 2026
E
Enrollment Form
- English: CACFP Child Enrollment Form for Family Day Care Homes April 2026
- Spanish: CACFP Formulario de inscripción de niño para cuidados diurnos en hogar familiar April 2026
I
Income and Expenditure Report
- Form: CACFP Nonprofit Status Income and Expenditure Report for Day Care Home Sponsor Administrative Costs
- Instructions: Instructions for CACFP Nonprofit Status Income and Expenditure Report for Day Care Home Sponsor Administrative Costs
Income Eligibility
Income Eligibility Application for Family Day Care Homes
- Income Eligibility Form
- English: Income Eligibility Application for Family Day Care Home Providers April 2026
- Spanish: Solicitud de elegibilidad por ingreso para proveedores de cuidados diurnos en hogar familiar April 2026
- Income Eligibility Instructions
- Parent Letter
- English: Parent Letter for Family Day Care Providers April 2026
- Spanish: Carta al proveedor de cuidados diurnos en hogar familiar April 2026
Income Eligibility Application for Tier II Family Day Care Homes
- Income Eligibility Form
- Income Eligibility Instructions
- Parent Letter
- English: Parent Letter for Households in Tier II Family Day Care Homes April 2026
- Spanish: Carta a los padrespara hogares de cuidados diurnos en Hogar familiar – nivel II April 2026
Income Eligibility Application for Provider's Own Children
- Income Eligibility Form
- Income Eligibility Instructions
- Parent Letter
- English: Parent Letter for Family Day Care Providers' Own Children April 2026
- Spanish: Carta para niños propios de proveedores de cuidados diurnos en hogar familiar April 2026
Infants
- Infant Forms (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 the Child and Adult Care Food Program webpage)
Monitoring
- Monitoring Review Form
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 the Child and Adult Care Food Program webpage)
S
Standardized Recipes
- Standardized Recipe Form for the CACFP January 2026