Family day care home sponsors

Forms & Resource Center

Family day care home sponsor application, management plan and agreement
NDE 01-012Family Day Care Home Sponsoring Organization Management Plan


 Instructions for Uploading FilesAdobe pdf7/2010
NDE 01-017
Page 6
Certificate of Authority (responsible individuals and principals)

Adobe pdf

NDE 01-017
Page 7
Organization Representatives Signature Page

Adobe pdf


NDE 01-017Family day care homes sponsors must enter this portion of the application in the online application system.
This includes Sponsor Application, Day Care Home Providers, Day Care Home Budget, Day Care Home County Approval, Staff Profile, Supporting Documents
online application system 

Attachment BAgency Revenueword9/2000

Attachment CBoard of Directorsword9/2000

NS-304-HAgreement, Parts II and III
All sponsors of family day care homes must agree to abide by this agreement.



Provider and household forms and letters
Number Name/Description Format Date
NS-300-HHome Provider Application to Claim Meals Served to Own Children and/or Tier I Determination



NS-301-HApplication for Tier I Determination in Tier II Family Day Care Homesword4/2010


Sample Letter to Providers
income guidelines not included



Sample Letter to Tier II Households
income guidelines not included



Current Income Eligibility Guidelines 

Adobe pdf7/2014

 Sample Sponsor-Provider Agreementword3/2003
Resources for Family Day Care Home Sponsors
 Management Standards for Nebraska Family Day Care Home SponsorsAdobe pdf11/2006

 Nebraska Family Day Care Home Recruitment Policy – adopted by Nebraska sponsors March 1, 1999 html3/1999

 Nebraska Staffing FactorsAdobe pdfJuly 17, 2003

 Sample Time Certification worksheet – for use to document time spent in CACFPAdove pdf 

 Electronic Funds Transfer Dates html 

 Attachment E – (from National School Lunch Program) – Computing Income for Self Employed Persons Adobe pdf 
Hearing Officer Resouces
 Hearing Officer Orientation – adapted from USDA presentationsPowerPointNovember 2008
 Hearing Officer Orientation – slides with scriptAdobe pdfNovember 2008
USDA Resources – Financial Management
 State Agency Monitoring of Sponsors’ Use of Administrative FundsPowerPointApril 2010
 State Agency Monitoring of Sponsors’ Use of Administrative Funds – scriptWordApril 2010
 Financial Management Brochures – USDA web sitehtm 
 USDA Financial Management Instruction 796-2Adobe pdf 
 USDA Management Plan Evaluation GuideAdobe pdf 
 FNS 796-2 – Cost Items Requiring Prior Approval and Specific Prior Written ApprovalAdobe pdf