Florida Department of Elder Affairs Forms

This document provides a list of the board of directors for the Adult Care Food Program (ACFP) in Florida. It includes the names and affiliations of the individuals who serve on the board.

This document is a certification statement for the Adult Care Food Program in Florida. It addresses business integrity and compliance with publicly funded programs.

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 form is used for reviewing adult day care sponsoring organizations participating in the Adult Care Food Program in Florida.

This document is a contract used in Florida for managing food services in various establishments such as restaurants, cafeterias, and catering services. It outlines the terms and conditions for the management of these food service operations.

This Form is used for determining eligibility and calculating co-payment for the Community Care for the Elderly (CCE) and Alzheimer's Disease Initiative (ADI) programs in Florida.

This document is used for monitoring sponsorship sites in Florida for the American College of Family Physicians.

This document is for determining income eligibility for receiving food benefits in Florida.

This document is a list of registration for the ACFP (American Council of Professional) in Florida. It is written in Spanish.

This document is for the monthly certification of eligibility for centers with beneficiaries of Title XIX in Florida.

This form is used for requesting a monthly reimbursement in Florida.

This form is used for evaluating adult care centers in Florida.

This form is used for medical certification and patient transfer for Medicaid long-term care services in Florida.

This document is used to authorize the use and disclosure of your protected health information in the state of Florida.

This form is used for updating or changing personal information in the state of Florida. It is used for things like updating address, name change, or other important updates.