Northwest Nutrition Service
A non-profit sponsor of the
USDA Child and Adult Food Program
Forms
| 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 form is required to be handed out along with the enrollment form.This form will help the parent(s) understand what the CACFP has to offer [Download] |
| Child Attendance IN/OUT log 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] |
| Daily Infant Menu Form 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 used if a provider is providing daycare to enrolled day care children on a state/federal holiday. This form must accompany a providers monthly menu in order to be reimbursed for the state/holiday care. [Download] |
| Monthly Delete Form This form is used to when a provider stops providing care to an enrolled day care child. [Download] | Online Child Enrollment This form is used to enroll a daycare child into the Childcare Food Program supported by Northwest Nutrition Service (for providers using online program only). [Download] |