CACFP Forms Fiscal Year 2022

Want to participate in the Child and Adult Care Food Program (CACFP)?

The first step is to attend training. Look for "Get Started with NC CACFP" on the training page to register.

Once you have participated in "Get Started with CACFP", you’re ready to begin the application process. Complete and submit New Institution Application Profile and the NC CARES User Access Request Form you received. Then select the guide below which corresponds to your institution. The guides list the required application forms and describe the online application process.

• NC CARES New Institution User Access Request Form 
• New Institution Application Profile 

• New Application Guides
  • Independent Centers - New Application Guide 
  • Sponsoring Organizations – New Application Guides
    • SO of Affiliated Centers New Application Guide 2022 
    • SO of Unaffiliated Centers New Application Guide 2022 
    • SO of Affiliated and Unaffiliated Centers New Application Guide 2022 
    • SO of FDCH New Application Guide 2022 
  • School Food Authorities – At Risk Afterschool Meals - New Application Guide 
• Attachments
  • Attachment A - General Terms and Conditions - Local Government
  • Attachment A - General Terms and Conditions - Local Government Sponsored Centers 
  • Attachment A - General Terms - Private
  • Attachment A - General Terms - Private Sponsored Centers
  • Attachment A - General Terms - State Department
  • Attachment A - General Terms - State Department Sponsored Centers
  • Attachment B - Federal Certifications
  • Attachment B - Federal Certifications - Sponsored Centers
  • Attachment D - State Grant Certification - For Organizations
  • Attachment D - State Grant Certification - For Sole Proprietors
  • Attachment E - Conflict of Interest Acknowledgement and Policy
  • Attachment F – Contractor Certification 
  • Attachment I - FFATA Data Reporting Requirement
• Required Documents 
  • Independent Center
    • CACFP Fact Sheet for ICs 
    • Certification Regarding Other Publicly Funded Programs
    • Management Plan for ICs 
    • Institution Training Certification - Independent Center
    • Statement of Authority 
  • Sponsoring Organizations
    • Agreement between Sponsoring Organization and Day Care Home Provider 
    • Agreement between Sponsoring Organization and Unaffiliated Facility
    • Information of Owners/Principals - Unaffiliated Facilities
    • Certification Regarding Other Publicly Funded Programs
    • Monitoring Plan 
    • CACFP Fact Sheet for SOs
    • Certification of Single Exclusive Agreement – Unaffiliated Facilities
    • Management Plan for SOs 
    • Participant Eligibility Information for New Centers Summary 
    • Participation Information New Centers Summary - At Risk Afterschool Meals (ARAM) 
    • Institution Training Certification - Sponsoring Organizations 
    • Statement of Authority 
  • Food Service Contracts
    • Invitation to Bid 
    • Documentation for Quotations and Checklist 
    • Contract with Food Service Management Company
    • Contract with School Food Authority 

Independent Centers

• 2021-2022 EZ Independent Centers Budget - includes only the required worksheets 
• 2021-2022 Full Independent Centers Budget - includes all required and optional worksheets 

Sponsoring Organizations

• 2021-2022 Sponsoring Organization of Affiliated Centers Budget (Separate Sponsored Center Budgets are not required.)
• 2021-2022 Sponsoring Organization of Day Care Homes Budget 
• 2021-2022 Sponsoring Organization of Unaffiliated Centers Budget 
  • 2021-2022 EZ Sponsored Centers Budget - includes only the required worksheets 
  • 2021-2022 Full Sponsored Centers Budget - includes all required and optional worksheets 

• Adult Enrollment Form 2022
• Child Enrollment Form 2022 
• Child Enrollment Form Spanish 2022 
• Infant Feeding Consent Form 2022 

• 2021-2022 CACFP Income Eligibility Guidelines
• Adult Income Eligibility Application 2022
• Child Income Eligibility Application 2022 
• Child Income Eligibility Application – Spanish 2022 
• Children Enrolled in Family Day Care Homes 2022 
• Provider’s Income and Provider’s Own Children 2022 

Institutions participating in NC CACFP may adapt the following templates to reflect their institution’s policies and procedures by modifying the highlighted text.

Independent Centers

• Code of Conduct Policy 
• Compensation Policy 
• Confidentiality Policy 
• Edit Check Policy
• Non-Discrimination Policy 
• Outside Employment Policy
• Procurement Policy 
• Property Management Standards Policy
• Conflict of Interest Acknowledgement and Policy
• Non-Pricing Program Policy 

Sponsoring Organizations

• Administrative Fee Policy 
• Code of Conduct Policy 
• Compensation Policy 
• Confidentiality Policy 
• Disbursement Policy
• Edit Check Policy 
• Household Contact Policy 
• Household Contact Survey Form 
• Non-Discrimination Policy
• Non-Pricing Program Policy
• Outside Employment Policy 
• Procurement Policy 
• Property Management Standards Policy
• Recruitment Policies and Procedures 
• Conflict of Interest Acknowledgement and Policy