Get the free Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)
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This document certifies that a facility is not participating in more than one CACFP agreement for the receipt of federal funds.
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How to fill out certification of single exclusive
How to fill out Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)
01
Obtain the Certification of Single Exclusive CACFP Agreement-Facility form from the official CACFP website or local agency.
02
Fill out the facility name and address section accurately.
03
Indicate the type of program your facility offers under CACFP.
04
Provide details about the facility’s owner or responsible party.
05
Include the contact information for the facility.
06
Review any eligibility criteria and confirm your facility meets them.
07
Sign and date the certification form to validate the information provided.
08
Submit the completed form to the appropriate CACFP office.
Who needs Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)?
01
Any unaffiliated centers that want to participate in the Child and Adult Care Food Program (CACFP).
02
Facilities that provide meals to children and need federal reimbursement for those meals.
03
Centers that are independently operated and not affiliated with larger organizations or school districts.
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What is Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)?
The Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers) is a document that verifies a facility's agreement to participate exclusively in the Child and Adult Care Food Program (CACFP) without affiliations to other centers for funding.
Who is required to file Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)?
Facilities that wish to participate in the CACFP and are unaffiliated with any other centers must file this certification to confirm their eligibility and exclusivity in receiving CACFP benefits.
How to fill out Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)?
To fill out the certification form, facilities should provide their basic information, confirm the exclusive agreement status, and sign the document as required by the CACFP guidelines.
What is the purpose of Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)?
The purpose of the certification is to ensure that benefits from the CACFP are allocated to facilities that are not affiliated with others, maintaining integrity and appropriate funding distribution within the program.
What information must be reported on Certification of Single Exclusive CACFP Agreement-Facility (Unaffiliated Centers)?
The certification must report the facility's name, address, type of facility, the signature of the authorized representative, and a statement confirming that the facility is not affiliated with other centers under CACFP.
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