CACFP Operational Forms

Homes

• Blank Menu (PDF)

• Direct Deposit Agreement (PDF)

• Parent Statement for Child Enrollment Updates (Word)

• Relationship Affidavit and No Compensation Affidavit Instructions (PDF)

• Sign In/Sign Out (PDF)

• Sign In/Sign Out (Excel)

• Sign In/Out Signage for Parents (FCC) (PDF)

Centers and At-risk Afterschool Programs

Application

• Direct Deposit for Centers (PDF)

• Submit this form and we will contact you about being your CACFP sponsor

Claim Checklist

• Monthly Claim Checklist (PDF) - Updated 6/03/2023

Labor

• Certification of CACFP Only Work Duties (L1) (PDF) - Updated 10/19/21

• Combined Timesheet and Distribution Report (L2 and L3) (Excel) - Updated 10/12/21

• Hourly Time Distribution Report (L2) (PDF) - Updated 10/12/21

• Salaried Time Distribution Report (L3) (PDF) - Updated 10/12/21

Parent Forms for Centers

• 2023-24 Parent Packet: Income Eligibility Form, WIC flyer, Infant affidavit and Building for the Future – English (PDF) - Updated 07/19/23

• 2023-24 Parent Packet: Income Eligibility Form, WIC flyer, Infant affidavit and Building for the Future – Spanish (PDF) - Updated 07/19/23

• Infant Affidavit (PDF)

• Growing a Healthier Future with the CACFP (PDF)

• How to Complete the Income Eligibility Statement Form Correctly (PDF) - Updated 10/1/18

• Sign In/Out Signage for Parents (Centers) (PDF)

Rent and Utilities Allocation

• Rent and Utilities Allocation Worksheet (Excel)

Travel

• Travel Expense Form (Updated 7/19/23 with new mileage rate) (Excel)

Purchasing and Donated Food

• CACFP Procurement Overview for QCC Sponsored Sites (PDF)

• Procurement Guidelines and Form for Kitchen Equipment, Food Service Management Companies and Food Distributors (PDF)

• Procurement and Purchasing Policy Template FY22 (Word)

• Harvested and Donated Food Form – CACFP (PDF)

• Harvested and Donated Food Form – CACFP (Word)

• Less Than Arm’s Length Transaction Disclosure Form (PDF)

• Agreement to Furnish Food Service for CACFP Template (PDF)

• Standard Food Service Management Company Contract Form Checklist (PDF)

Training

• Center Orientation Training Calendar - Updated 4/15/2024

All Programs

Field Trips

• Field Trip Notification Form

Nutrition

• Food Chart (PDF)

• Infant Meal Pattern (PDF)

• Child Meal Pattern (PDF)

• USDA Poster 1 to 2 Years (PDF)

• USDA Poster 3 to 5 Years (PDF)

• USDA Poster 6 to 18 Years (PDF)

• CACFP New Meal Pattern Menu with Best Practices (PDF)

• Milk Serving Chart (PDF)

• Georgia Harvest Calendar (PDF)

Administration

• Corrective Action Plan Template NONCOMPLIANCE Template (Word)

• Corrective Action Plan Template NONCOMPLIANCE Template (PDF)

• Corrective Action Plan Template SERIOUS DEFICIENCY Template (Word)

• Corrective Action Plan Template SERIOUS DEFICIENCY Template (PDF)

• Termination Letter for Sponsor (Word)

Medical Statement/Special Needs

• Medical Statement to Request Special Meals and/or Accommodations (PDF)

Other

• Georgia WIC Program 2023-2024 (PDF) - Updated 7/19/23

• Building for the Future (English) (PDF) - Updated 2/27/20

• Building for the Future (Spanish) (PDF) - Updated 2/27/20

• Building for the Future (Korean) (PDF) - Updated 06/04/20

• Building for the Future (Vietnamese) (PDF) - Updated 06/04/20