Afterschool Snack Program

Afterschool Snack Program Review From/On-Site Review Form (PDF)

Agreement & Policy Statement 2020-2021

  1. Agreement and Policy Statement Packet (PDF)
  2. Schedule A (blank) (PDF) only return if new school(s) 
  3. Schedule B – Afterschool Snack Program (PDF) (optional)
  4. Schedule C-21 – Seamless Summer Option (PDF) (optional)
  5. Forms & Letters School Year 2020-2021 Packet (DOCX) 
  6. 2020-2021 Application for Free and Reduced Price School Meals (PDF)
  7. Public Release (samples) (DOCX)
  8. Income Eligibility Guidelines for School Year 2020-2021 (PDF) 

                    Schedule D (PDF)

                    Meal Pattern Flexibility Waiver Form (PDF)

                    Serving Site Change Request (PDF)

The USDA Translated Applications website includes translation resources available for use by School Districts.

The Spanish language application and letters are included on this USDA website.

Translations for applications intended to be used directly by SFAs to distribute to families:

Fruit and Vegetable Program

Healthy Schools / Wellness Policy

  •  Wellness Committee Requirements Checklist - Part 1 and 2 of Triennial Assessment (WORD)

Labor Evaluation

  •  Meals Per Labor Hour Worksheet SY 2017-18 (9/2017) (EXCEL)
  •  Sample Staffing Guidelines using Meals per Labor Hour from Iowa Dept. of Ed. 9/27/06) (PDF)


  •  Buy American Justification Form (WORD)
  •  Bid Tabulation Form – (8/2009) (EXCEL)

Program Management


  •  Flowchart for Original Claim Submission (PDF)
  •  Flowchart for Claim Revision Processing (PDF)
  •  Claim Revision Request Form (PDF)
  •  Aid for Efficient On-Line Claim Preparation (EXCEL)
  •  Instruction for Aid for Efficient On-Line Claim Preparation (PDF)
  •  Cash Management Worksheet (EXCEL)
  •  Daily Record Form (EXCEL)
  •  Edit Check 2 Worksheet (PDF)

Meal Modifications (previously Special Dietary Needs)

Staff Training

  •  Documentation of Child Nutrition Training for Staff – Sign In Sheet (PDF)
  •  Consolidation of Training Hours (PDF)

Summer Meals Program

  •  Seamless Summer On-Site Review Form for SFA’s (WORD)
  •  Schedule C-18 Seamless Summer Option Summer 2018 (PDF fillable) - only return if SFA is serving Seamless Summer in summer of 2018

Time Certification

  •  Time Certification Form - 100% Child Nutrition (PDF)
  •  Time Certification Form - Less Than 100% Child Nutrition (EXCEL)

Verification Reporting

 The Excel spreadsheet has four tabs:
 “Required Standard”
 “Standard by Default”
 “Alternate I”
 “Alternate II”
Open the tabs, look for the districts LEA number and name to determine the correct verification sampling method to be completed by the district.