CACFP Family Day Care Homes

Forms

The forms below apply to CACFP family day care homes. The date in italics after each document indicates the 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  

Civil Rights 

• Civil Rights Requirements for the CACFP  (CSDE's Civil Rights for Child Nutrition Programs webpage)  

C

Crediting Worksheets

• Worksheet for Crediting Cooked Breakfast Cereals in the Child and Adult Care Food Program   July 2025
• Worksheet for Crediting Ready-to-eat (RTE) Breakfast Cereals in the Child and Adult Care Food Program   July 2025
• Worksheet for Crediting Yogurt in the Child and Adult Care Food Program   July 2025

E

Enrollment Form

Updated July 2023

• English: CACFP Child Enrollment Form for Family Day Care Homes
• Spanish: CACFP Child Enrollment Form for Family Day Care Homes
  CACFP Formulario de inscripción de niño para cuidados diurnos en hogar familiar

I

Income and Expenditure Report

Updated February 2025

• Form: CACFP Nonprofit Status Income and Expenditure Report for Day Care Home Sponsor Administrative Costs 
• Instructions: Instructions for CACFP Nonprofit Status Income and Expenditure Report for Day Care Home Sponsor Administrative Costs

Income Eligibility

Income Eligibility Application for Family Day Care Homes   January 2025

• Form: Income Eligibility Application for Family Day Care Home Providers
• Instructions: Instructions for the Income Eligibility Application for Family Day Care Home Providers
• Letter: Sample Parent Letter for Family Day Care Providers 
• Spanish Form: Income Eligibility Application for Family Day Care Home Providers
  • Solicitud de elegibilidad por ingreso para proveedores de cuidados diurnos en hogar familiar
• Spanish Instructions: Instructions for the Income Eligibility Application for Family Day Care Providers  
  • Instrucciones para la solicitud de elegibilidad por ingreso para proveedores de cuidados diurnos en hogar familia
• Spanish Letter: Sample Parent Letter for Family Day Care Providers  
  • Carta muestra al proveedor de cuidados diurnos en hogar familiar



Income Eligibility Application for Tier II Family Day Care Homes  January 2025

• Form: Income Eligibility Application for Households in Tier II Family Day Care Homes 
• Instructions: Instructions for the Income Eligibility Application for Households in Tier II Family Day Care Homes
• Letter: Sample Parent Letter for Households in Tier II Family Day Care Homes 
• Spanish Form: Income Eligibility Application for Households in Tier II Family Day Care Homes
  • Solicitud de elegibilidad por ingreso para hogares de cuidados diurnos en hogar familiar – nivel II
• Spanish Instructions: Instructions for the Income Eligibility Application for Households in Tier II Family Day Care Homes
  • Instrucciones para la solicitud de elegibilidad por ingreso para hogares de cuidados diurnos en hogar familiar – nivel II
  Spanish Letter: Sample Parent Letter for Households in Tier II Family Day Care Homes 
  • Carta muestra a los padrespara hogares de cuidados diurnos en Hogar familiar – nivel II



Income Eligibility Application for Provider's Own Children  January 2025

• Form: Income Eligibility Application for Family Day Care Home Provider's Own Children
• Instructions: Instructions for the Income Eligibility Application for Family Day Care Home Provider's Own Children
• Letter: Sample Parent Letter for Family Day Care Providers' Own Children
• Spanish Form: Income Eligibility Application for Family Day Care Home Provider's Own Children
  • Solicitud de elegibilidad por ingreso para niños propios de proveedores de cuidados diurnos en hogar familiar
• Spanish Instructions:Instructions for the Income Eligibility Application for Family Day Care Home Provider's Own Children 
  • Instrucciones para la solicitud de elegibilidad por ingreso para niños propios de proveedores de cuidados diurnos en hogar familiar
• Spanish Letter: Sample Parent Letter for Family Day Care Providers' Own Children
• Carta muestra para niños propios de proveedores de cuidados diurnos en hogarf amiliar

Infants

• Infant Forms (CSDE's Feeding Infants in CACFP Child Care Programs webpage)  

M

Medical Statements

• Medical Statements (CSDE's Special Diets in CACFP Child Care Programs webpage) 

Menu Forms

• Menu Forms ("Menu Forms and Production Records" section of CSDE's Meal Patterns for CACFP Child Care Programs webpage) 

Monitoring

• Monitoring Review Form

Nutrition and Physical Activity Policies

• Action Planning Form for Child Care Policies ("Documents/Forms" section of CSDE's Child Care Nutrition and Physical Activity Policies webpage)
• Self-assessment Tools ("Documents/Forms" section of CSDE's Child Care Nutrition and Physical Activity Policies webpage)

P

Production Records

• Production Records ("Menu Forms and Production Records" section of CSDE's Meal Patterns for CACFP Child Care Programs webpage) 

S

Standardized Recipes

• Standardized Recipe Form for the CACFP  February 2024