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CACFP Administrative Handbook

Related Forms for Family Day Care Home Sponsors
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Name
Form 16-A - PDF
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16-A Home Visit Review Report Sample
5-Day Reconciliation Form - PDF
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16-B 5-Day Reconciliation Form
5-Day Reconciliation Form - Example - PDF
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16-B 5-Day Reconciliation Form - Example
Form 17-A - PDF
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17-A Child Enrollment Form - Updated 10/2016
Form 17-A Spanish- PDF
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17-A Child Enrollment Form - Spanish, Updated 10/2016
Form 17-B - PDF
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17-B Certification Form for Participation Eligibility - Updated 10/2016
Form 17-C - PDF
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17-C Split Shift Form
Form 17-D - PDF
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17-D Capacity Exception - Noon Hour for Preschool-Kindergarten Children
Form 17-E - PDF
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17-E Capacity Exception - School Age Children
Form 17-F - PDF
Form 17-F - MS Word
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17-F Certification Agreement for Electronic Submission
Form 18-A - PDF
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18-A Tier Classification Chart
Form 18-B - PDF
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18-B Tier Notification Form
Form 18-B - PDF
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18-B Tier Notification Form - Spanish
Form 18-C - PDF
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18-C 1040 Verification Worksheet
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Census Block Group Averaging Tool
18-D Census Block Group Averaging Tool - Updated11/26/14
Claim Justification Form
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20-A Claim Justification Form
Form 21-A - PDF
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21-A CACFP Time and Task Form
Form 21-B - PDF
Form 21-B - MS Word
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21-B Wage/Salary Form
Form 21-C - PDF
Out of State Travel Form - MS Word
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21-C Out-of-State Travel Form
Form 21D - PDF
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21-D CACFP Mileage Record Form
         
         
 
 
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