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Adult Day Centers HOUSEHOLD SIZEINCOME STATEMENT 2025, Rev. 6/24 Child and Adult Care Food ProgramComplete this form (HIS) and return it to the center. Complete one HIS per household. Refer to the
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01
Gather all necessary information and documents such as household income, number of household members, and other relevant information.
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Complete the FFY2025 CACFP ADC Household form accurately by providing all requested information.
03
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Submit the completed form to the appropriate authority or organization as instructed.
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Who needs ffy2025 cacfp adc household?
01
Individuals or households who are participating in the FFY2025 CACFP ADC program may need to fill out the household form to provide information about their household and eligibility for the program.
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