112 North Star Street, El Dorado, Kansas 67042, United States
Forms Library
CACFP Forms Library
To make your participation in the Child and Adult Care Food Program (CACFP) as smooth as possible, we’ve gathered all the essential forms you need in one convenient location. Whether you’re managing income eligibility, meal reimbursements, or provider enrollment, you can easily access and download the forms you need right here. With these resources, you can stay compliant, keep track of important documentation, and ensure you’re meeting all program requirements.
Home Provider Forms
2 Week Rotating Menu with Shopping List
Download ⬇
Home Attendance Sheet Weekly
Download ⬇
Home Attendance Sheets Monthly
Download ⬇Center Provider Forms
Center Enrollment Form and IEF
Download ⬇
Center Production Record
Download ⬇
Center Weekly Infant Meal Record
Download ⬇
Center Daily Infant Meal Record
Download ⬇
Week 1 Rotating Menu/Production Record/Shopping List
Download ⬇
Week 2 Rotating Menu/Production Record/Shopping List
Download ⬇All Other Forms
Direct Deposit Form
Download ⬇
Online Authorization Form
Download ⬇
Meal Modification Form
Download ⬇Help Us Feed More Children!
Have Questions?
We're Here to Help!
Reach out today and let us know how we can support you. Whether you have questions or need more information, we’re here to help every step of the way.
Sign Up For Our Newsletter
Contact Us
We will get back to you as soon as possible.
Please try again later.
Site Links
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, religion, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
(1) mail
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
(2) fax:
(833) 256-1665 or (202) 690-7442; or
(3) email:
program.intake@usda.gov
This institution is an equal opportunity provider.
De acuerdo con la ley federal de derechos civiles y las normas y políticas de derechos civiles del Departamento de Agricultura de los Estados Unidos (USDA), esta entidad está prohibida de discriminar por motivos de raza, color, origen nacional, religión, sexo (incluyendo identidad de género y orientación sexual), discapacidad, edad, o represalia o retorsión por actividades previas de derechos civiles.
La información sobre el programa puede estar disponible en otros idiomas que no sean el inglés. Las personas con discapacidades que requieren medios alternos de comunicación para obtener la información del programa (por ejemplo, Braille, letra grande, cinta de audio, lenguaje de señas americano (ASL), etc.) deben comunicarse con la agencia local o estatal responsable de administrar el programa o con el Centro TARGET del USDA al (202) 720-2600 (voz y TTY) o comuníquese con el USDA a través del Servicio Federal de Retransmisión al (800) 877-8339.
Para presentar una queja por discriminación en el programa, el reclamante debe llenar un formulario AD-3027, formulario de queja por discriminación en el programa del USDA, el cual puede obtenerse en línea en: https://www.usda.gov/sites/default/files/documents/ad-3027s.pdf, de cualquier oficina de USDA, llamando al (866) 632-9992, o escribiendo una carta dirigida a USDA. La carta debe contener el nombre del demandante, la dirección, el número de teléfono y una descripción escrita de la acción discriminatoria alegada con suficiente detalle para informar al Subsecretario de Derechos Civiles (ASCR) sobre la naturaleza y fecha de una presunta violación de derechos civiles. El formulario AD-3027 completado o la carta debe presentarse a USDA por:
(1) correo:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
(2) fax:
(833) 256-1665 o (202) 690-7442; o
(3) correo electrónico:
program.intake@usda.gov
Esta entidad es un proveedor que brinda igualdad de oportunidades.
All Rights Reserved | Quality Care Services | Privacy Policy