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]