Adult Care Templates

This Form is used for child care providers in Arizona to enter into a permanent agreement with the Child and Adult Care Food Program.

This form is used for participants in the Child & Adult Care Food Program in Arizona who require food substitutions due to medical reasons.

This document is used for reconciling the meals served in the Child and Adult Care Food Program in Arizona over a 5-day period. It helps ensure accuracy and accountability in reporting.

This form is used to determine income eligibility for adults participating in the CACFP meal benefit program. It provides instructions on how to accurately complete the form and submit it for review. This document is essential for determining if adults qualify for subsidized meals through the CACFP program.

This document is used for determining the income eligibility of adults participating in the Child and Adult Care Food Program to receive meal benefits.

This document is an enrollment roster for the Adult Care Food Program (ACFP) in Florida. It is used to keep track of and manage participants in the program.

This document provides a policy statement regarding outside employment for participants in the Adult Care Food Program in Florida.

This form is used for requesting additional funds for the Adult Care Food Program in Florida. It allows organizations and agencies to submit a supplemental budget request to cover expenses related to providing meals to adults in care.

This Form is used for annual certification of information related to the Adult Care Food Program (ACFP) in Florida. It helps ensure compliance with program requirements and regulations.

This form is used for reviewing the Adult Care Food Program at an Adult Day Care Center/Facility in Florida. It helps ensure that the program meets the necessary standards for providing food to adults in care.

This form is used for gathering catering information for the Adult Care Food Program (ACFP) in Florida.

This flowsheet is a patient problem list that is used to consolidate their health information to streamline care delivery and meet health care requirements.

This document is used for attesting to the caregiver experience in an Adult Family Home in the state of Washington. It is a required form for caregivers in this setting.

This form is used for claiming reimbursement for the Child and Adult Care Food Program in Tennessee.

This document is used for granting authorization to an adult caregiver in Texas for voluntary caregiving services.

This document is for organizations in Georgia that want to apply to participate in the Child & Adult Care Food Program (CACFP). The CACFP provides funding for meals and snacks served at child and adult care centers.

This document is used for applying to the Child and Adult Care Food Program (CACFP) in Nevada. The CACFP provides funding for meals and snacks served to children and adults in eligible child care centers, adult day care centers, and emergency shelters.

This form is used for certifying annual information for the Child and Adult Care Food Program in North Dakota.

This Form is used for independent child and adult care centers in North Dakota to annually certify their information for the Child and Adult Care Food Program.

This form is used for the annual information certification for the Child and Adult Care Food Program (CACFP) by family child care home (Fcch) sponsors in North Dakota. It provides important information about the program and its participants.

This form is used for making changes to the Child and Adult Care Food Program (CACFP) provider application in the state of Arizona.

This form is used for conducting inspections in adult care facilities in California to ensure they meet the licensing requirements.

This document provides instructions for completing the Real Property Income and Expense form for adult care and nursing home facilities in New York City. It outlines the requirements and guidelines for reporting income and expenses related to the operation of these facilities. Use this form to ensure accurate reporting and compliance with the city's regulations.

This document is an application for obtaining a license to operate an adult foster care home in South Dakota.

This document is for parents or guardians who are requesting a waiver for an institution pickup in the Child and Adult Care Food Program in South Carolina.

This type of document is used for requesting a waiver to allow the availability of milk in child and adult care institutions participating in the Food Program in South Carolina.

This document is for requesting a waiver from certain requirements in the Child and Adult Care Food Program in South Carolina.

This document is for applying to the Lifespan Respite Voucher Program in Arkansas, specifically for individuals who speak Marshallese. This program provides vouchers to caregivers who need respite services for their loved ones.

This Form is used for conducting site reviews of Child & Adult Care Food Program (CACFP) sites in Vermont.

This document is a waiver request form for the Child and Adult Care Food Program in Arkansas, specifically related to Covid-19.

This form is used for initiating the permanent agreement for the Electronic Child and Adult Care Food Program in Arizona.

This form is used for collecting combined racial/ethnic data for the Child and Adult Care Food Program and Summer Food Service Program in Georgia.