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Office of the State Superintendent of Education

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Enrollment Forms/Income Eligibility Statements

Thursday, August 1, 2024

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):

FY25 Enrollment Form - Income Eligibility Statement Child Care

FY25 Enrollment Form - Income Eligibility Statement Adult Care

FY 25 Enrollment Form Tier I Homes

FY25 Enrollment Form - Income Eligibility Statement FDCH Tier II

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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