Northwest Nutrition Service
A non-profit sponsor of the
USDA Child and Adult Food Program
Forms
FORMS
| Child Delete Form This form is used to when a provider stops providing care to an enrolled day care child. [Download] | Daily Master Menu Meal Count Form This form is used to record meals/snacks served to daycare children that a provider is claiming for reimbursement. [Download] |
| Building the Future This need to be handed out along with each enrollment [Download] | Child Attendance Form (Time in & Outs) This form is used to maintain time in/out records. Child Attendance Log is a requirement. This is a sample form for the provider to use. [Download] |
| Child Enrollment Form-Fillable This form is used to enroll a daycare child into the Childcare Food Program Supported by Northwest Nutrition Service. [Download] | Daily Infant Menu This form is used to record meals/snacks served and claiming for reimbursement for infants age 0 through 11 months of age. [Download] |
| Daily Meal Count Record Form This form is used to record meals/snack served to daycare children that a provider is claiming for reimbursement. [Download] | Daily Menu Back page of the Daily Meal Count Record Form. This form is used to record meals/snacks served and claiming for reimbursement for children over one year of age. [Download] |
| Direct Deposit Form -Fillable This form is to have your reimbursement put directly into your account. [Download] | Holiday Form This form is used when a provider provides care on a holiday [Download] |
| spanish creando el futuro/Building the future Esto es una copia de lo que debe recivir cada vez que inscriba a un nino [Download] | Spanish dias festivos/Holiday Form Esta pagina la usa cuando quiere reclamar alimentos/ninos en dias festivos [Download] |
| Spanish Direct Depoist/Deposito directo Esta pagina se usa para depositar el cheque directamente a su cuenta de banco. [Download] | spanish forma para eliminar ninos en cuidado/Delete Form Esta pagina es para eliminar a ninos que no estan bajo su cuidado [Download] |
| Spanish Infant form Este formulario se utiliza para registrar las comidas / refrigerios servidos y reclamar el reembolso para bebés de 0 a 11 meses de edad. [Download] | spanish inscripciones/ Enrollment Form Esta pagina es usada para inscribir a un nino nuevo. [Download] |
| Spanish Master Menu Meal Count Form Este formulario se utiliza para registrar las comidas/refrigerios servidos a los niños de guardería que un proveedor está reclamando para el reembolso. [Download] | Spanish menu diario /Daily Meal Count Form Esta pagina es usada para mantener cuentas de los alime... [Download] |
| Spanish Menu diario/ Daily Menu Esta pagina es para indicar cuales alimentos dio cada d... [Download] | Spanish time in & out/ Hojas de entrada y salida Hoas de asistencia para entrada y salidas de los ninos ... [Download] |
| Termination request for Direct Deposit To cancel Direct Deposit before adding new one [Download] | WIC program information This will give you information on the WIC program [Download] |