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This form is used for enrolling a child in the Child and Adult Care Food Program (CACFP), capturing essential information about the child, parent, and provider, including dietary needs and participant
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How to fill out cacfp enrollment form

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How to fill out CACFP Enrollment Form

01
Obtain the CACFP Enrollment Form from your local Child Nutrition Program office or their website.
02
Fill in the child's name, date of birth, and the names of their parents or guardians.
03
Provide the address and contact information for the child.
04
Indicate the enrollment status (e.g., free, reduced-price, or paid) based on household income.
05
Complete any additional required sections for childcare providers or facilities.
06
Sign and date the form, and ensure it's submitted to the appropriate agency.

Who needs CACFP Enrollment Form?

01
Parents or guardians of children participating in the Child and Adult Care Food Program (CACFP).
02
Childcare centers, family child care homes, and afterschool programs that wish to receive federally funded meals for enrolled children.
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Be a public entity, or. Have tax-exempt status under the Internal Revenue Code of 1986, or. Meet the requirements for a for-profit center. For-profit child care centers are eligible if 25% or more of enrolled participants or 25% of the licensed capacity are receiving child care subsidies or are low-income children.
ENROLLMENT FORM. Required Form for use by Child Care Centers and Head Start Programs. CACFP programs exempt from having an enrollment form on file are: Emergency Shelters, Outside School Hours, Youth Development & After School at Risk.
All records to support a claim must be kept on file for three years plus the current year per 7 CFR 226.10. dates, new USDA Policy Memos, and additional information. regulations.
The Child and Adult Care Food Program (CACFP) is a federal program that provides reimbursements for nutritious meals and snacks to eligible children and adults who are enrolled for care at participating child care centers, day care homes, and adult day care centers.
There are 5 components of the CACFP meal pattern, they are milk, fruit, vegetable, meats/meat alternates, and grains. There is a list of different creditable milks in the Creditable and Non-Creditable Food Guide.
ENROLLMENT FORM. Required Form for use by Child Care Centers and Head Start Programs. CACFP programs exempt from having an enrollment form on file are: Emergency Shelters, Outside School Hours, Youth Development & After School at Risk.
All records to support a claim must be kept on file for three years plus the current year per 7 CFR 226.10. dates, new USDA Policy Memos, and additional information. regulations.
CACFP also provides reimbursements for meals served to children and youth participating in afterschool care programs, children residing in emergency shelters, and adults over the age of 60 or living with a disability and enrolled in day care facilities.

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The CACFP Enrollment Form is a document used by the Child and Adult Care Food Program (CACFP) to enroll eligible participants in receiving nutrition assistance and to ensure compliance with program regulations.
Child care providers, adult day care centers, and other eligible organizations participating in the CACFP are required to file the CACFP Enrollment Form for each participant they serve.
To fill out the CACFP Enrollment Form, complete all required sections including participant information, enrollment dates, and relevant signatures. Ensure that all information is accurate and submitted according to local guidelines.
The purpose of the CACFP Enrollment Form is to document the enrollment of participants in the program, ensuring that they receive proper nutrition support and that providers comply with federal and state requirements.
The information that must be reported on the CACFP Enrollment Form includes participant's name, date of birth, enrollment dates, household size, income eligibility, and parent or guardian signatures.
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