Forms for Child Nutrition Programs

Afterschool Snack Program

Afterschool Snack Schedule B SY 14/15 (fillable .pdf)

Afterschool Snack Program Review From/On-Site Review Form (.doc)

Community Eligibility Provision

CEP District Notification Report

CEP School Notification Report

NSLP Equipment Assistance Grants- Fiscal Year 2013

DUE Friday May 9, 2014

Part I, Grant Description

Part II Section I District Application and Checklist

Part II Section 2 Application by School

Equipment Grant - Legal Requirements for Grants and Procurement

 Free and Reduced Price Meals 2013-2014 

         Eligibility Guidelines 2014-15

Free & Reduced Meal Applications 2013-2014 (doc)

Free & Reduced Meal Applications 2013-2014 (pdf)

Spanish Packet 04-30-13 (doc)

Spanish Packet 04-30-13 (pdf)

 Free and Reduced Price Meals 2014-2015

Forms Packet 2014-2015 (.doc)

Forms Packet 2014-2015 (.pdf)

Eligibility Guidelines 2014-15

Free & Reduced Meals Applications 2014-2015 (.doc)

Free & Reduced Meals Applications 2014-2015 (.pdf)

Spanish Packet 2014-2015 (.doc)

Spanish Packet 2014-2015 (.pdf)

Healthy Schools

Committee Reporting Form for Nutrition and Physical Activity or Wellness Committee (.pdf)

Health Inspection Form 13/14 (.pdf)

Health Inspection Form 13/14 (.doc)

Wellness Policy

Wellness Committee Form (.xlsx)

Wellness Committee Form (.pdf)

Wellness Committee Responsibilities Documentation Form (October 2013)

Program Management

Menu Planning Tool (Lunch Menu Planning Tool beginning SY 2012-2013) – Developed by the Iowa Department of Education, Nutrition Services

Blank Recipe Form

Production Records

Meals Per Labor Hour Worksheet (SY2013-14) (Revised October 2013)

Sample Staffing Guidelines using Meals per Labor Hour (.pdf) (from Iowa Dept. of Ed. 9/27/06)

Documentation of Child Nutrition Training for Staff SY10/11



Training Hours (no watermark)

On Site Review (Revised January 2014)

Eligibility Master Roster less than 1000 students

Eligibility Master Roster over 1000 students

Direct Certification Other Students List

Certification of Disability for Special Dietary Needs Form (.pdf)

Time Certification Form - 100% Child Nutrition (.doc)

Time Certification Form - Less Than 100% Child Nutrition (.xls)

Bid Tabulation Form - August 2009 (.xls)

OTHER STUDENTS REPORT SY 13-14

Reimbursement

Claim Reimbursement 2014/15 (xls) - Instructions for Claim Form 2014/15 (doc)

Claim Reimbursement 2013/14 (xls) - Instructions for Claim Form 2013/14 (doc)

Cash Management Worksheet (.xls)

Daily Record Form (.xls) 



Edit Check Worksheet (.doc)

Safety Net Listing 2014-2015

FFVP Claim for Reimbursement (Excel) 2013-14 (SY 2013-2014 ONLY for those schools approved to participate in the FFVP) NOTE: Claim updated 08/13

FFVP Claim for Reimbursement (Excel) 2012-13 (SY 2012-2013 ONLY for those schools approved to participate in the FFVP) NOTE: Claim updated 06/12

Instructions for 2012-2013 FFVP Claim for Reimbursement (.doc) - NOTE:  This form was updated 6/12.

Summer Meals Program

Seamless Summer Schedule C-14 SY 13/14 (doc)

Seamless Summer Schedule C-14 SY 13/14 (pdf)

Seamless Summer Schedule C-15 SY 14/15 (.doc)

Seamless Summer Schedule C-15 SY 14/15 (.pdf)

Verification Reporting

Verification Timeline

Other Students Report SY 13-14

FNS-742-SFA Verification Collection Report 2013 (2013)

 

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