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Get the free Child and Adult Care Food Program Parent Preference Statement Form

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Complete this form to indicate non-disability special dietary needs for your child in the Child and Adult Care Food Program. Provide food preferences, exclusions, and allowable substitutions. Sign and date to submit.
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How to fill out child and adult care

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Gather all necessary information such as personal details of the child or adult requiring care, medical history, emergency contacts, and special instructions.
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Fill out the required forms accurately and completely, providing all requested information.
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Review the filled out forms for any errors or missing information before submission.
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Submit the completed forms to the appropriate caregiver or care facility.

Who needs child and adult care?

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Parents who have to work and need someone to look after their children during the day.
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Families with elderly or disabled members who require specialized care and assistance.
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Child and adult care refers to the services provided to children and adults who need assistance with daily activities such as feeding, bathing, and supervision.
Individuals who provide child and adult care services as a business are required to file for child and adult care.
To fill out child and adult care, providers need to report information about the services provided, number of clients served, and any income earned from the care services.
The purpose of child and adult care is to ensure the well-being and safety of children and adults who require assistance with daily activities.
Providers must report details such as the services provided, number of clients served, income earned, and any licensing or certifications obtained.
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