Forms & Resources
Below are links to useful forms for our CACFP Providers.
All links are to .pdf documents that can be opened using Adobe Reader. If you do not have the Adobe Acrobat PDF reader, you can download the program from this link:
INSTRUCTIONS:
To submit your forms electronically, which is the preferred method, download the PDF form(s) below, fill in the appropriate fields and save the document. Then, to submit your saved PDF form(s), go to the CONTACT US page, fill out the contact form, upload your completed files, and submit.
To print forms shown below, click on the link and then click the print icon in your browser. Alternatively, you can download, enable editing and fill out forms, print those completed forms and mail to: CACFP 107 S Division, Spokane, WA 99202.
Forms:
- 2022 Family Income Eligibility Application - English
- 2022 Family Income Eligibility Application - Spanish
- 2022 Provider Income Eligibility Application - English
- 2022 Provider Income Eligibility Application - Spanish
- Certification Sheet for Policies - English
- Holiday Verification - English
- Holiday Verification - Spanish
- Infant Meal Form - English
- Tier II Provider Election of Reimbursement Option - English
Guidelines:
- Building for the Future
- Building for the Future Flyer - English
- Building for the Future Flyer - Spanish
- CACFP Policies - English
- Family Income Eligibility Letter - English
- Income Guidelines 2021-22 - English
- KidKare Instructions - English
- KidKare Start Up Guide - English
- Tier I Provider Income Letter - English
Holiday Note:
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
Memorial Day
Fourth of July
Labor Day
Thanksgiving Day
Christmas Day