Get the free cacfp 160 form - planaheadnewyork

4 Nov 2013 ... the claim month in which a provider begins to participate. Complete CA CFP 3705, and if needed, Provider Transfer Form (DOH4219), and/or Onsite Provider. Addendum (CACFP160), must be

How to fill out cacfp 160 form

How to fill out CACFP 160 form:

1. Start by gathering all the necessary information. You will need to provide details such as the name of the organization, the name and contact information of the authorized representative, and the number of children or participants in the program.
2. Section A of the form requires you to enter the month and year of the claim, as well as the dates of operation for the reimbursement period. Make sure to accurately fill in these dates.
3. In Section B, you will need to list each meal type, such as breakfast, lunch, and dinner, along with the number of meals served for each age group. Ensure that you accurately report the number of meals provided.
4. Next, move on to Section C, where you will calculate the total number of meals and snacks served. This section requires you to add up the meals provided for each meal type and age group. Double-check your calculations to avoid any errors.
5. Section D focuses on the reimbursement rates. Here, you will need to enter the correct rates for each meal type and age group. These rates may vary depending on several factors, so make sure to refer to the current guidelines.
6. Calculate the total reimbursement amount by multiplying the number of meals served by the reimbursement rates in Section D. Enter these totals in Section E.
7. Section F requires you to list any adjustments or deductions made to the reimbursement amount. If there are none, simply write "None" or leave this section blank.
8. Finally, review the completed form to ensure all information is accurate and complete. Make sure to sign and date the form before submitting it to the appropriate authority.

Who needs CACFP 160 form:

1. Childcare centers: Childcare centers that participate in the CACFP program and serve meals to children in their care are required to fill out the CACFP 160 form.
2. Family daycare homes: Providers of family daycare homes who participate in the CACFP program and serve meals to children in their homes are also required to complete the CACFP 160 form.
3. Head Start programs: Head Start programs that provide meals to eligible children as part of their services must complete the CACFP 160 form.

Note: The specific requirements may vary depending on the state and program guidelines. It is important to refer to the relevant regulations and instructions provided by your state agency or program sponsor.

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