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Summer Food Service Program
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Program Renewal

2012 Documents & Instructions
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PDF File Links Below Word File Links Below    
Instructions for Renewal - PDF Instructions for Renewal - MS Word --- Instructions for Renewal
KN-CLAIM Quick Ref for SFSP - PDF --- --- 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.
Letter to Health Dept - PDF Letter to Health Dept - MS Word --- 2 - Letter to Health Department Regarding Inspections
           Link to Kansas Health Directory
       
Training Certification - PDF --- --- 3 - Training Certification

Item 4 is to be completed ONLY if the sponsor's authorized representative is changing.
Change Authorized Representative - PDF Change Authorized Representative - MS Word --- 4 - Change Authorized Representative

Items 5-7 apply ONLY to sponsors that collect new eligibility documentation for SFSP participants.
Household Application Packet - PDF Household Application Packet - MS Word --- 5 - Household Application packet for SFSP Meals
Income Eligibility Guidelines --- --- 6 - Income Eligibility Guidelines
Guidelines for Determining Eligibility - PDF --- --- 7 - Guidelines for Determining Eligibility
     


Item 8 applies ONLY to Food Service Management Companies that will receive $100,000 or more in Federal funds for a SFSP contract.

Lobbying Certification - PDF --- --- 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.
Agreement for School Sponsor to Provide Meals - PDF Agreement for School Sponsor to Provide Meals - MS Word --- 9 - Agreement for a School Sponsor to Provide Meals
Agreement for FSMC to Provide Meals - PDF Agreement for FSMC to Provide Meals - MS Word --- 10 - Agreement for a Food Service Management Company to Provide Meals
FSMC Registration - PDF --- --- 11 - Food Service Management Company Registration
Waiver to Unitized Meals Requirement - PDF Waiver to Unitized Meals Requirement - MS Word --- 12 - Waiver to Unitized Meals Requirement
Unaffiliated Site Agreement - PDF Unaffiliated Site Agreement - MS Word --- 13 - Unaffiliated Site Agreement
Effort to Obtain SFS - PDF Effort to Obtain SFS - MS Word --- 14 - Verification of Efforts to Obtain School Meals or Use School Food Service Facilities

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.
 

 

 
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