Forms and Manuals

Relative Care Annual Certification Form (English)

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Relative Care Annual Certification Form (Spanish)

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School Information Form (English)

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School Information Form (Spanish)

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Sign in/out Form

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Special Diet Statement (English)

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Special Diet Statement (Spanish)

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Forms and Manuals | Alliance for Children

- Food Program (CACFP)
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- Alliance for Children helps to ensure that children enrolled in family day care homes receive well balanced, nutritious meals.
  
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In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD- 3027) found online at: http://www.ascr.usda.gov/complaint filing cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter 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; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

This institution is an equal opportunity provider.

Forms and Manuals

Relative Care Annual Certification Form (English)

Attachment

Relative Care Annual Certification Form (Spanish)

Attachment

School Information Form (English)

Attachment

School Information Form (Spanish)

Attachment

Sign in/out Form

Attachment

Special Diet Statement (English)

Attachment

Special Diet Statement (Spanish)

Attachment

Alliance for Children

A non-profit organization sponsoring the Child Adult Care Food Program (CACFP) since 1989.

Non-profit Child Adult Care Food Program (CACFP)