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Wisconsin Department of Public Instruction CHILD AND ADULT CARE FOOD PROGRAM REIMBURSEMENT CLAIM SPONSORING ORGANIZATIONS FAMILY DAY CARE HOMES PI1452 (Rev. 1020) INSTRUCTIONS: Use this form as a

How to fill out pi-1452 cacfp reimbursement claim

How to fill out pi-1452 cacfp reimbursement claim

1. To fill out the PI-1452 CACFP reimbursement claim, follow these steps:
2. Gather all necessary documentation such as meal counts, attendance records, and proof of eligibility for reimbursement.
3. Begin with the header section of the form and provide your organization's name, address, and federal tax identification number.
4. Fill in the corresponding month and year for which the claim is being submitted.
5. Complete the Provider Information section, including your contact information and the contact information for the person responsible for financial matters.
6. Enter the total number of reimbursable meals served during the month and the total number of non-reimbursable meals.
7. Provide detailed information about claims for meal reimbursement, including the type of meal (breakfast, lunch, supper, snack), number of meals claimed, unit price, and total amount claimed.
8. Include any additional reimbursable expenses such as milk, infant formula, supplements, or nutrition education materials.
9. Calculate the total amount claimed for reimbursement by adding up all meal claims and additional expenses.
10. Sign and date the form, and ensure that the person responsible for financial matters also signs and dates the appropriate section.
11. Submit the completed PI-1452 CACFP reimbursement claim along with all supporting documentation to the appropriate CACFP office.
12. Remember to keep copies of all documents for your records.

Who needs pi-1452 cacfp reimbursement claim?

1. The PI-1452 CACFP reimbursement claim is needed by organizations participating in the Child and Adult Care Food Program (CACFP).
2. These organizations may include child care centers, adult day care centers, family day care homes, emergency shelters, and at-risk afterschool care centers.
3. It is important for these organizations to submit the reimbursement claim in order to receive financial assistance for providing nutritious meals and snacks to eligible participants.

What is PI-1452 CACFP Reimbursement Claim Sponsoring Organizations of Family Day Care Homes - dpi wi Form?

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Template PI-1452 CACFP Reimbursement Claim Sponsoring Organizations of Family Day Care Homes - dpi wi instructions

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What is pi-1452 cacfp reimbursement claim?

The PI-1452 CACFP reimbursement claim is a form used by participants in the Child and Adult Care Food Program (CACFP) to request reimbursement for eligible food expenses incurred while providing meals to eligible children and adults.

Who is required to file pi-1452 cacfp reimbursement claim?

Organizations and facilities participating in the CACFP that provide meals to children and adults are required to file the PI-1452 reimbursement claim to receive reimbursement for their food expenses.

How to fill out pi-1452 cacfp reimbursement claim?

To fill out the PI-1452 CACFP reimbursement claim, participants need to accurately provide details about the meals served, including the number of meals, types of food served, and any related costs, following the guidelines provided by the CACFP.

What is the purpose of pi-1452 cacfp reimbursement claim?

The purpose of the PI-1452 CACFP reimbursement claim is to ensure that participating organizations receive reimbursement for the costs of providing nutritious meals and snacks to eligible individuals.

What information must be reported on pi-1452 cacfp reimbursement claim?

The claim must report information such as the number of meals served, types of meals provided, and associated food costs, along with confirmation of compliance with CACFP meal pattern requirements.