Summer Food Service Program (SFSP)
Forms & Instructions
To use an
"enterable"
form, first download it to your computer's hard drive as follows: 1. Right-click on the
Microsoft Word or Excel button. 2. Select "Save Target As" and specify the location on your hard drive
where the file will be saved; then click "Save".
Once you have downloaded the file, open it in Word or Excel.
* Use your <Tab> key to move from enterable field to field.
* To complete a Word checkbox, use the "X" key or click on the checkbox.
* Save the completed form on your computer.
* Print copies to file or return to KSDE as specified in the
instructions below for program initiation or renewal.
Group 1: Initial Application Documents for
New Sponsors
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Instructions for Initial Application
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1
- Initial Sponsor
Application
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2
- Initial Site Application
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3 - SFSP Agreement
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4
- Form W-9 - Request for Taxpayer Identification Number and
Certification
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5
- Authorization for Electronic Deposit of Vendor Payment
(optional)
Group 2: Application/Renewal Documents for New
Sponsors and Prior Year's Sponsors
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Instructions for Renewal
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1 -
KN-CLAIM Quick Reference for SFSP Initiation or Renewal
- Includes instructions on completing the
online:
* Sponsor Application
* Site Application
* Sponsor Budget (for non-school sponsors only)
Items 2 and 3 are required for
ALL
sponsors. KSDE must approve these documents prior to payment of
reimbursement.
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2 - Letter to Health Department Regarding Inspections
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3
- Training Certification
Item 4 is to be completed ONLY if
the sponsor's authorized representative is changing.
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4 - Change Authorized Representative
Items 5-7 apply ONLY
to sponsors that collect new eligibility documentation for SFSP
participants.
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5
- Letter to
Parents/Guardians Regarding SFSP Availability
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6
-
Application and Instructions for Meal Benefits
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7
- Income Eligibility Guidelines & Instructions
Item 8 applies ONLY
to Food Service Management Companies that will receive $100,000 or more
in Federal funds for a SFSP contract.
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8
- Lobbying
Certification
Items
9-12 apply
ONLY to
sponsors that contract for food service with either a school
sponsor or a food service management company.
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9 - Agreement
for a School Sponsor to Provide Meals
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10
- Agreement for a Food Service Management Company to Provide Meals
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11 - Food Service Management Company Registration
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12 - Waiver to Unitized Meals Requirement
Item 13 applies ONLY
to
NEW
sponsors requesting an advance in reimbursement payments.
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13 - Advance Payment Request
Program
Administration
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1 -
Enrollment Certification
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2
- Field Trip Request
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3
- Site Visits
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4
- Waiver for Required First Week Site Visits
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5 -
Monitor Site Review Form
6
- Site Personnel Worksheet
7
- Reimbursement Worksheet
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8 -
Monthly Financial Status Summary for Non-School Sponsors
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9
- KN-CLAIM Quick Reference for Reimbursement Claims
