SENDCAA
Child/Adult Care Food Program
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CACFP Forms Click on the links below for CACFP forms (print extra forms or make a photo copy for you records) After printing your PDF forms, click on the back button on your browser to return to the CACFP website. Reimbursement Claim Form--make 2 copies Infant Menu--make 2 copies Enrollment/Infant Participation Form--make 3 copies Infant Formula Participation Form--use this form if an enrollment is already on file at the SENDCAA office and changes need to be made regarding infant formula. Diet Statement--use this form if you have a child that cannot be served a required component because of an allergy or other medical condition. This form must be signed by a Physician. Change Form--use this form if you are changing meal times, meals served, days of week, or formula offered. Make 2 copies. Tier I Applications School Boundary and/or Census Eligible Providers to Claim Own Children Provider Application to Claim Own Children--Proof of income must be submitted with this application.
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SouthEastern North Dakota Community Action Agency
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