Breakfast Program Agreement (DOC; 81KB; 8pp.)
Cancellation Request (DOC; 37KB; 1p.)
California Fresh Start Pilot Program - School Breakfast Program Agreement Addendum (DOC; 46KB; 1p.)
Certification for State Meal Reimbursement (DOC; 32KB; 1p.)
Attachment to Management Bulletin NSD-SNP-04-2008: certification of compliance with nutritional requirements.
Direct
Certification (DOC; 47KB; 1p.)
Implementation checklist to establish procedures to directly
certify student meal eligibility.
Disclosure
of Lobbying Activities (PDF; Outside Source)
U.S. Office of Management and Budget Standard Form LLL for disclosure
of lobbying activities pursuant to 31 U.S.C. 1352.
Eligibility Materials
Applications, forms, and other materials for school meal, milk,
and State Meal Program eligibility.
Food Service Management Company Service Procurement
Explains regulations regarding procurement of services offered by a food service management company (FSMC).
Food Service Consulting Contract Prototype (DOC; 93KB; 12pp.)
Price Quote for Procurement of Food Service Management Services (DOC; 36KB, 1p.)
Inter-Agency Agreement (DOC; 60KB; 1p.)
This form is used to establish the conditions under which one School Food Authority will operate the National School Lunch Program and/or School Breakfast Program on behalf of another School Food Authority.
Meal Count Forms
Worksheets for School Nutrition Program meal counts.
Medical Statement to Request Special Meals and/or Accommodations (DOC; 67KB; 2pp.)
CNP 925 - This form is used by parents/guardians to have a medical authority prescribe special meals, or accommodations during meals, which are necessary because of a disability or medical reason.
Menu Production Record Forms
Forms used to determine the amount of food to serve for School Meals Initiative (SMI) menu production.
Policy Statement, Meal Programs (DOC; 43KB; 2pp.)
Policy Statement, Milk Program (DOC; 31KB; 2pp.)
Provision
Forms (DOC; 198KB; 7pp.)
Includes policy statement addendums for implementation and extension
of Claiming Alternatives Provisions 1, 2, and/or 3.
Provision
Requirements (DOC; 53KB; 2pp.)
Provision
2 Work Sheets (DOC; 93KB; 3pp.)
Provision
3 Work Sheets (DOC; 76KB; 3pp.)
Seamless Summer Feeding Option Materials
Forms for the federal seamless option opportunity that allows public schools to combine features of the School Nutrition Programs and the Summer Food Service Program along with reduced paperwork requirements.
Site
Change Request (DOC; 96KB; 2pp.)
Site Change Request form and instructions.
Site
Monitoring Review (DOC; 40KB; 2pp.)
Site
Monitoring Report - After School Snack Program (DOC; 41KB;
2pp.)
Site
Monitoring Review - Provisions 2 & 3 (DOC; 56KB; 2pp.)
Site monitoring review forms for standard and alternative claiming
methods.
Snack
Enrollment Roster (DOC; 31KB; 1p.)
Snack enrollment roster form.
Standard
Lunch Period Exemption Request (DOC; 41KB; 2pp.)
Standard lunch service times exemption request form.
Verification Materials (Updated 01-Oct-2007)
School Nutrition Programs
verification materials including applications, forms, and other materials for the annual, mandatory verification process for eligibility of a sample of completed household meal eligibility applications in schools.
Waiver Forms
New conditions for summer and Saturday school meal waivers criteria.
