Publications
Please follow the attached instructions to accurately complete the Annual Civil Rights Data Collection Form.
Annual Civil Rights Data Collection Form Instructions.doc - 43.0 KB (doc)
This PowerPoint presentation may be used when training front-line staff on their civil rights responsibilities.
Civil Rights Training Frontline Staff.ppt - 1.4 MB (ppt)
The Daily Meal Count Summary Form can be used to report the total number of meals, by type, served each day across all rooms, as reported on the by-name Point-of-Service Meal Count Forms. This form could also be used to record meal counts at the point-of-service. If used for point-of-service...
- Daily Meal Count Summary Form.doc - 96.0 KB (doc)
Daily Meal Count Summary Form.pdf - 69.8 KB (pdf)
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a child who is a beneficiary of Temporary Assistance for Needy Families (TANF).
- CACFP FY 2013 IES Example: TANF Beneficiary - 105.0 KB (doc)
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified based on household income information.
- CACFP FY 2013 IES Example: Income Classification - 104.5 KB (doc)
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a foster child.
- CACFP FY 2013 IES Example: Foster Child Only - 101.0 KB (doc)
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified if a parent or guardian chooses to fill out one form for both a foster child and other children also residing in the household.
- CACFP FY 2013 IES Example: Foster Child with Other Children - 120.5 KB (doc)
This form should be used by sponsoring organizations to report the number of meals claimed, by type, at each facility under the organization's sponsorship.
- Sponsoring Organization Facility Claim Summary - 137.4 KB (pdf)
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a beneficiary of the Supplemental Nutrition Assistance Program (SNAP; formerly known as Food Stamps).
- CACFP FY 2013 IES Example: SNAP Beneficiary - 104.5 KB (doc)
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a participant in Head Start or Early Head Start.
Please note that a Head Start Certification List or other proof of eligibility for Head Start must also...
- CACFP FY 2013 IES Example: Head Start Participant - 101.0 KB (doc)
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