Forms for CACFP Adult Day Care Centers

Page 2 of 4

• CACFP Enrollment Form for Adult Centers

• AdultCredit10

• Food Safety: Alternate QFO Statement

• Production Record for Adult Centers: AM Snack, Lunch, and PM Snack (PDF)

• Production Record for Adult Centers: Any Meal (PDF)

• Authorized Signatures Change Form

• Authorized Signatures Change Form Instructions

• Authorized Signatures Change Form Instructions

• Production Record for Adult Centers: Breakfast, Lunch, and Snack (AM or PM) (PDF)

• CACFP Civil Rights Beneficiary Data Collection Form

• CACFP Civil Rights Potential Beneficiary Data Collection Form

• CACFP Civil Rights Pre-award Survey

• CACFP Enrollment Form for Adult Centers

• CACFP Sample Nonprofit Status Income and Expenditure Report (DOC)

• CACFP Sample Nonprofit Status Income and Expenditure Report: Instructions