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CA CFP Meal Modification Form Important! Select the applicable meal modification category from the three listed below. Then carefully read and follow the procedures for that category. The center×home
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How to fill out cacfp meal modification form

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How to fill out a CACFP meal modification form:

01
Start by obtaining a copy of the CACFP meal modification form. This form can typically be found on the website of your State agency responsible for administering the CACFP program.
02
Begin by filling out the basic information section of the form. This may include the name of the organization or facility participating in the CACFP program, contact information, and the date.
03
Identify the meal or meals that require modification. Indicate whether it is breakfast, lunch, supper, or snack. If multiple meals need modification, make sure to provide all the necessary details for each meal.
04
Specify the reason for the modification. This could include a child's dietary restrictions, religious or cultural dietary preferences, or a medical condition that requires a special diet.
05
Provide detailed information about the modifications needed for each meal. This may include any specific foods that need to be excluded or substituted, portion sizes, or other customizations necessary to meet the dietary needs of the participant.
06
If applicable, include any additional information or documentation to support the request for meal modification. This could include medical forms, statements from healthcare professionals, or any other relevant documentation.
07
Review the completed form for accuracy and completeness. Make sure all required fields are filled out correctly, and any necessary signatures or authorizations are included.
08
Submit the completed form to the appropriate authority, such as the CACFP sponsor or the State agency responsible for administering the program.

Who needs a CACFP meal modification form:

01
Childcare centers participating in the CACFP program may need a meal modification form if they have children with dietary restrictions, religious or cultural dietary preferences, or medical conditions that require custom meal plans.
02
Schools or educational institutions participating in the CACFP program may need a meal modification form to accommodate students with specific dietary needs or medical conditions.
03
Adult care centers or homes participating in the CACFP program may require a meal modification form for individuals with dietary restrictions or medical conditions.
04
Family daycare homes participating in the CACFP program may need a meal modification form if they have children with specific dietary needs or allergies.
It is important to consult with the appropriate authority or the CACFP program guidelines to determine if a meal modification form is required in a specific situation.
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The CACFP meal modification form is a form used to request changes or adjustments to the meals served in the Child and Adult Care Food Program.
Child care centers, adult day care centers, family day care homes, and other organizations participating in the CACFP are required to file the meal modification form.
The CACFP meal modification form can be filled out by providing details of the requested meal modifications, including specific dietary needs or restrictions.
The purpose of the CACFP meal modification form is to ensure that participants in the program receive meals that meet their individual dietary needs and requirements.
The meal modification form must include details of the participant's dietary needs, as well as any requested changes or adjustments to the meals served.
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