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.
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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.
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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.
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Holiday Form
This form is to be used when a provider is doing care on one of these Holidays. Must have parent signature
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