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Office of the State Superintendent of Education

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Enrollment Forms/Income Eligibility Statements

Friday, June 11, 2021

Enrolled participants in adult care, child care, and family day care homes must complete and submit a completed Enrollment Form/Income Eligibility Statements upon enrollment, and annually thereafter.

CACFP Translated Meal Eligibility Forms - 33 Languages Available

Attachment(s):

FY24 Enrollment Form - Income Eligibility Statement FDCH Tier II

FY24 Enrollment Form - Income Eligibility Statement Child Care

FY24 Enrollment Form - Income Eligibility Statement Adult Care

FY 24 Enrollment Form Tier I Homes

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Office of the State Superintendent of Education

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Enrollment Forms/Income Eligibility Statements

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Enrollment Forms/Income Eligibility Statements