Documents/Forms
The date in italics after each document is the most current revision date.
A B C D E F G H I J K L M N O P Q R S T U V X Y Z
A
Authorized Signatures
C
Crediting Worksheets
- See CSDE Crediting Worksheets for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Crediting Foods in CACFP Adult Day Care Centers webpage) November 2019
Civil Rights
- See Civil Rights Requirements for the CACFP (CSDE's Civil Rights for Child Nutrition Programs webpage) January 2021
E
Enrollment Form
- CACFP Enrollment Form for Adult Centers January 2021
F
Food Safety
- Alternate QFO Statement
- Food Safety for Child Nutrition Programs (CSDE webpage)
- Food Service Employee Training Record for Sanitation and Food Safety
- On-site Training Record for Sanitation and Food Safety
- Qualified Food Operator (QFO) Responsibilities for Connecticut Child Nutrition Programs
- Refrigerator and Freezer Temperature Control Record
I
Income and Expenditure Report
- CACFP Nonprofit Status Income and Expenditure Report for Child Day Care Centers, Emergency Shelters, At-risk Afterschool Programs, and Adult Day Care Centers January 2021
- Instructions for CACFP Nonprofit Status Income and Expenditure Report for Child Day Care Centers, Emergency Shelters, At-risk Afterschool Programs, and Adult Day Care Centers January 2021
Income Eligibility
- Income Eligibility Application Form for Adult Day Care Centers (English) January 2021
- Income Eligibility Application Form for Adult Day Care Centers (Spanish)
- Income Eligibility Application Form for Adult Day Care Centers Instructions (English) January 2021
- Income Eligibility Application Form for Adult Day Care Centers Instructions (Spanish) January 2021
- Income Guidelines for Child Nutrition Programs (CSDE webpage)
- Sample Household Letter for Nonpricing Adult Day Care Centers (English) January 2021
- Sample Household Letter for Nonpricing Adult Day Care Centers (Spanish) January 2021
M
Medical Statements
- See Medical Statements for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Special Diets in CACFP Adult Day Care Centers webpage) April 2020
Menu Forms
- See Menu Forms for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Meal Patterns for CACFP Adult Day Care Centers webpage) December 2020
Monitoring
- Monitoring Review Form for CACFP Centers December 2014
P
Production Records
- See Production Records for CACFP Adult Day Care Centers (Documents Forms section of the CSDE's Meal Patterns for CACFP Adult Day Care Centers webpage) December 2020
S
Standardized Recipes
- Standardized Recipe Form for the CACFP October 2020