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 Building the Future: This must be given out with each enrollment form. [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 This form is used to enroll a daycare child into the Childcare Food Program Supported by Northwest Nutrition Service. [Download] | Child Enrollment Form/Spanish Este formulario se utiliza para inscribir a un niño de guardería en el Programa de Alimentos para el Cuidado Infantil Apoyado por el Servicio de Nutrición del Noroeste. [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] | Holiday Form This form is to be used when a provider is doing care on one of these Holidays. Must have parent signature [Download] |