Forms School Lunch Programs

Published: 2/13/2013 3:38 PM

Afterschool Snack Program Monthly Count Form - Area Eligible

After School Snack Program Program Review Form

Afterschool Snack Program Weekly Count Form - Income Eligible

Area Eligible Snack Menu and Production Record

Board Member Certification Statement

CEO Breakfast in the Classroom Meal Counting and Claiming Procedures Template 

CEO Breakfast Meal Count Roster

CEO Edit Check Worksheet

Civil Rights Questionnaire

Direct Certification Web Download Tool User Registration Form

Direct Verfication Form

FFVP Calender to Document Offerings and Educational Activities

FFVP Grant Tracking Form

FFVP Production Record

Free and Reduced Meal Application with Instructions

Free and Reduced Price Policy Statement

Income Eligible Afterschool Snack Menu and Production Record

Individual Determination Form for RCCIs 2012

Individual Employee Disclosure Agreement

Letter to Households - Announcement Letter

Letter to Households - Approval or Denial of Benefits

Letter to Households - Notice of Direct Certification

Letter to Households of Verification Outcome

Meals Per Labor Hour 2a

Meals Per Labor Hour 2b

Media Release - CEO

New Sponsor Checklist

Onsite Monitor Review Form

Permission to Share Eligibility Determination with Medicaid

Permission to Share Eligibility Determination with Other Programs

Policy - Disclosure Agreement with Instructions

Production Record Prototype

Record of Community-Parent-Student Involvement

Record of Training Sessions and In-Service

Request for Quotations

SNP Financial Statement

Specification Worksheet

Statement of Authority

Verification Extension Request Form

Verification Reporting Form (FNS 742)

Verification Summary Sample - Multiple Applications

Verification Summary Sample - Single Application

Sue Bartenfield
Office of Administration and Support
Division of School and Community Nutrition
500 Mero Street, 23rd Floor CPT
Frankfort, KY 40601
Phone (502) 564-5625 ext. 4922
Fax (502) 564-5519