Forms
Agreement and Policy Statement
Agreement and Policy Statement SY 2023-2024
Free and Reduced Meal Applications
The USDA Translated Applications website includes translation resources available for use by School Districts.
Fruit and Vegetable Program
- FFVP Operational Plan (PDF) and Worksheet (XLS)
- FFVP Equipment Request (PDF)
- FFVP Hourly Pay Rate Confirmation (PDF)
- FFVP Monthly Time Sheet (XLS)
- FFVP On-Site Review Form (XLS)
- FFVP Deadlines (PDF)
- FFVP Claim for Reimbursement (XLS)
Labor Evaluation
Program Management
- Short and Long Week Meal Pattern Calculation Guide (PDF)
- Food Donation Documentation (PDF)
- Master Roster Less than 1000 Students (XLS)
- Master Roster More than 1000 Students (XLS)
- Recipe Form (PDF)
On-Site Monitoring
- National School Lunch and School Breakfast Program On-Site Review Form (PDF)
- Afterschool Snack Program On-Site Review Form(PDF)
- Seamless Summer On-Site Review Form for SFA'a (PDF)
Reimbursement
- Flowchart for Original Claim Submission (PDF)
- Flowchart for Claim Revision Processing (PDF)
- Claim Revision Request Form (PDF)
- Aid for Efficient On-Line Claim Preparation (XLSX)
- Instruction for Aid for Efficient On-Line Claim Preparation (PDF)
- Cash Management Worksheet (XLS)
- Daily Record Form (XLS)
- Edit Check 2 Worksheet (PDF)
- Meal Tally Worksheet (XLSX)
Meal Modifications (previously Special Dietary Needs)
- Meal Modification Form (DOCX)
- Carbohydrate Estimator Tool (XLSX)
Staff Training
- Documentation of Child Nutrition Training for Staff – Sign In Sheet (PDF)
- Consolidation of Training Hours (PDF)
Summer Meals Program
- Summer 2023 Meal Information(PDF)
- C-23 Application (PDF)
- C-23 Application (PDF)
- Congregate Meal Service Fact Sheet
- Non-Congregate Meal Service Fact Sheet
- Outreach: Sample Summer Meals Poster (PDF)
- Outreach: Sample Summer Meals media post (DOCX)
- Outreach: Sample Summer Meals media post(PDF)
