Holiday notes are required when you have children in care on days listed below. The note should list the child(ren), the date, the times that the child(ren) was in care, daycare provider’s name and parent signature.

Don’t forget to send them at claim submission time!

New Year’s Day
Easter Sunday
Memorial Day
Fourth of July
Labor Day
Thanksgiving Day
Christmas Day

Guidelines:

• 2022 Crediting Handbook for the CACFP
• Feeding Infants Handbook 2021
• OSPI CACFP Approved Non-Dairy Beverages
• Request for Fluid Milk Substitution
• Reference Sheet Special Dietary Needs
• Request for Special Dietary Accommodations

Pautas Español:
MANUAL DE ACREDITACIÓN PARA EL Programa de Alimentos para el Cuidado de Niños y Adultos
Solicitud de Sustitución de Leche Líquida
Solicitud de Adaptaciones Dietéticas Especiales

To print forms below, click on link, save to your computer then open document. Enable editing and fill out forms, print completed forms and send to MDNP   3131 Smokey Pt Dr, Ste 5A Arlington, WA 98223.

Forms:

• 2023 Income Guidelines
• 2024 Tier II Provider Option Form

• 2024 Family Income Letter
• 2024 Family Income Eligibility Application

• 2024 Provider Income Letter
• 2024 Provider Income Eligibility Application

• Authorization Agreement For Direct Deposit

Required Postings:

• CACFP Child Meal Pattern
• CACFP Infant Meal Pattern
• Standard Infant Menu

• Building for the Future poster
• Construyendo Para El Futuro poster
• WIC Information Poster

Handouts & Forms:

• Building for the Future parent letter (english)
• Infant Meal Form – Homes & Centers

Attendance Forms:

• ATT1 – Meal Count
• ATT8 – All in One
• Claim Information Form