Child and Adult Care Food Program

Record of Meals and Supplements Served (RMSS) – commonly referred to as “blue and white sheets” – 11″ x 17″

Blue and White Sheets

Blue and White Sheets Order Form

Electronic version available upon request.

Monthly Claim for Reimbursement Worksheet

NS-401-G Claim Worksheet

Claim for Reimbursement – Child Care Centers

NDE 28-017 Reimbursement Claim Child Care Centers

Claim for Reimbursement – Adult Care Centers

NDE 28-018 Reimbursement Claim_Adult Day Centers

Claim Deadlines- 10th of the month

Claim Deadline Dates

Training Registration Instruction Manual

CNP Training Registration Manual

CACFP Agreement, Part II

NS-407-G Program Application Permanent Agreement Part II

Computer Access Application and Agreement (application for ID and password)

NDE-01-033 Computer Access Application

Getting Started on the CACFP – New Sponsors/Centers

Getting Started on CACFP_web
Getting Started on CACFP_pdf

Certificate of Authority (change in responsible individuals/principals)

NDE01-017-Page 7 Cert-of-Authority FY25

Organization Representatives Signature Page

NDE01-017-Page 8 Organization-Statement FY25

IRS W-9 and enrollment for direct deposit of claim reimbursement

W9/ACH Form

Pre-Award Compliance Form

NDE-01-032-PreAward Compliance Form

Food Service Contract – Complete package – instructions, contract, regulations, all attachments

Food Service Contract Fillable-Complete package-instructions, contract, regulations, all attachments

NS-404-G FSMC Contract Packet

Fillable Food Service Contract

FSMC Contract Amendment Form

FSMC Amendment Contract

Sample Delivery Ticket

Sample Meal Delivery Ticket

Informal Procurement Log and Policy Instructions (done annually)

Informal Procurement Log

Procuring Local Foods

Procuring Local Foods

Approved Vendor List

Approved Vendor List

Time Certification Worksheet – use this to document time worked in CACFP if needed to prove nonprofit food service operation

NS-405-G Time Certification Worksheet

Sample Site Review form – for sponsors of multiple sites

NS-406-G Affiliated Site Review Form 

Administrative Review procedures – steps for submitting an administrative review (appeal) regarding NDE actions

NS-409-G Administrative Review Procedures

Nebraska Household Contact System (for sponsors of more than one site)

NE Household Contact System

CACFP Monthly Expenditures (use to track expenses)

NS-413-G Monthly Expense Worksheet

CACFP Handbook for Sponsors of Multiple Sites

Coming Soon

Financial Viability

Financial Viability Requirements

Income & Expenditures Template

Grain Chart

Grain Chart

1 & 2 year olds

1 & 2 Year Old Sample Menu

3 – 5 year olds

3 – 5 Year Old Sample Menu

6 – 12 year olds & 13 – 18 year olds

6 – 12 & 13- 18 Year Old Sample Menu

Adults

Adult Sample Menu

Cycle menu planner – requires 8 1/2″ x 14″ paper to print

Cycle Menu Planner_Word

Cycle Menu Planner_PDF

4 Week Cycle Menu

CACFP Cycle Menu 22

Meal pattern for children, ages 1 – 12

Child Meal Pattern

Meal pattern for adults

Adult Meal Pattern

Meal pattern for infants (birth up to first birthday)

Infant Meal Pattern

List of Milk Substitutes Approved for use in CACFP

Milk Substitutes

What’s Cookin’ II – recipes

*Please note that some of these recipes may no longer be creditable under the current meal pattern.*

Recipes_pdf

NS-501-A Daily Production Record – This version allows for menu, foods used and quantity prepared for breakfast, morning snack, lunch, afternoon snack, supper and evening snack

A Daily Production Record

NS-501-B Daily Production Record – This version allows for the menu, foods used, and total quantity prepared for breakfast, morning snack, lunch and afternoon snack

 B Daily Production Record

Medical Statement- Use for medical conditions requiring meal substitutes

Medical Statement 

Spanish Medical Statement -Use for medical conditions requiring meal substitutes

Spanish – Medical Statement

Request for Meal Accommodation- Use for creditable meal substitutes based on personal preference

Request for Meal Accommodation

Spanish Request for Meal Accommodation- Use for creditable meal substitutes based on personal preference

Spanish – Request for Meal Accommodation

CDC Toolkit

CDC Toolkit_web version

ICN Food Safety

Food Safety Resources – Institute of Child Nutrition (theicn.org)

ICN Mealtime Memo: Family Style Meal Service

ICN Family Style Meal Service

USDA Family Style Meal Service Resources including Operator Booklet, Training Slides, Graphics, Posters, and Additional Resources

USDA Family Style Meal Service Resources