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Dietary Restrictions & Substitutions Statement The following statement is for United Stated Department of Agriculture (USDA) programs, including the Child and Adult Care Food Program. USDA regulations

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How to fill out dietary restrictions substitutions statement

01

Start by clearly stating your dietary restrictions

02

List out the specific ingredients you need to avoid

03

Provide examples of acceptable substitutions for the restricted ingredients

04

Include any additional information that may be helpful for understanding your dietary needs

Who needs dietary restrictions substitutions statement?

01

Individuals with food allergies

02

People with dietary restrictions such as gluten-free, vegan, or low sodium diets

03

Anyone who requires special meal accommodations

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What is dietary restrictions substitutions statement?

The dietary restrictions substitutions statement is a formal document that outlines any substitutions made for dietary restrictions, ensuring compliance with health and safety regulations.

Who is required to file dietary restrictions substitutions statement?

Entities that provide food services, such as restaurants, catering companies, and schools, are required to file the dietary restrictions substitutions statement.

How to fill out dietary restrictions substitutions statement?

To fill out the dietary restrictions substitutions statement, provide details about the specific dietary restrictions being accommodated, any substitutions made, and relevant identification of meals or products affected.

What is the purpose of dietary restrictions substitutions statement?

The purpose of the dietary restrictions substitutions statement is to ensure transparency and safety in food offerings for individuals with dietary restrictions and to comply with regulatory standards.

What information must be reported on dietary restrictions substitutions statement?

The statement must report the nature of the dietary restrictions, specific substitutions made, details of the food items affected, and any potential allergens present.

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