Forms for CACFP Adult Day Care Centers

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• CACFP Civil Rights Beneficiary Data Collection Form

• CACFP Civil Rights Potential Beneficiary Data Collection Form

• CACFP Civil Rights Pre-award Survey

• CACFP Enrollment Form for Adult Centers

• CACFP Sample Nonprofit Status Income and Expenditure Report (DOC)

• CACFP Sample Nonprofit Status Income and Expenditure Report: Instructions

• CACFP Standardized Recipe Form

• Food Safety: Alternate QFO Statement

• Food Safety: Food Service Employee Training Record for Sanitation and Food Safety (PDF)

• Food Safety: On-site Training Record for Sanitation and Food Safety (PDF)

• Food Safety: Qualified Food Operator (QFO) Responsibilities for Connecticut Child Nutrition Programs

• Food Safety: Refrigerator and Freezer Temperature Control Record (PDF)

• Income Eligibility Application Form for Adult Day Care Centers

• Income Eligibility Application Form for Adult Day Care Centers Instructions

• Income Guidelines for Child Nutrition Programs

  Information on the income guidelines for determining the eligibility of participants for free and reduced-price meals and milk in the U.S. Department of Agriculture's Child Nutrition Programs.