Forms and documents used in the Child Care Food Program





For your convenience the following forms have been formatted in pdf for easy printing.  If you have difficulty viewing these files, or if you'd like to receive a copy in Microsoft Office (Word or Excel) if available, so that you may customize them before printing, please send us a request via email

The field specialist will be bringing you additional forms at their next visit.  Remember, we'd be happy to mail you forms anytime. Simply give us a call and let us know what you'd like.


Food Program Requirements

Creditable Foods Guide

Meal Pattern Explanation

Meal Pattern Chart

nfant Meal Pattern

Agreement


Attendance


Parent Signature Form with meal counts
- This form is used in place of the state signature form, not in addition to.
Weekly Attendance Form

Weekend Attendance Form
 
Monthly attendance, side 1 (long 8 ½ x 14)

Monthly attendance, side 2 (long 8 ½ x 14)


Internet Claiming


User Manual

Webkids Starter Guide

Blank Daily Worksheet -
To print a Daily Meal Worksheet preprinted with your children's names, go to the menu Reports >> Claim >> Daily Meal Worksheet.
Parent Signature Form with meal counts - This form is used in place of the state signature form, not in addition to.


Enrollment Forms   


Building for the Future Flyer to be given to all new families regardless of provider's claim source.

Enrollment Form for those using written menus or scan forms.  Those using internet claiming should refer to page 6 of the Web Kids manual.


Income Verification Forms

Family income eligibility letter

Family income eligibility form
(Please request that a copy be mailed to you or print on
colored paper.
Please use green if available.)


Provider income eligibility letter

Provider income eligibility form
(Please request that a copy be mailed to you or print on
colored paper.
Please use pink if available.)



Miscellaneous

Direct Deposit Form 

Doctor's Form for food substitutes - A substitute food item must be stated for each food, and we need a photocopy for our records.  This information may also be faxed to our office at 253-593-2400 on office letterhead.

Milk Substitution Form for parent requested soy milk.
Keep Me Home Poster, version one

Keep Me Home Poster, version two

Menu Ideas
Holiday Form







Metropolitan Development Council
Child Care Food Program
721 S Fawcett Ave Ste 205
Tacoma WA 98402
(253) 284-7865  (800) 843-9317


Required nondiscrimination statement:
In accordance with Federal Law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability.

If you believe you have been treated unfairly, you may file a complaint of discrimination by writing, USDA, Director, Office of Adjudication, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call toll free (866) 632-9992 (Voice). Individuals who are hearing impaired or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish). USDA is an equal opportunity provider and employer.