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Child and Family Well-Being
CACFP Forms

CACFP Forms Fiscal Year 2024

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Adult Enrollment Form 2024
Infant and Child Enrollment Form 2024 / Formulario para Inscripción de Infantes y Niños
Infant Feeding Consent Form 2024 / Formulario de Consentimiento de Alimentación Infantil
Formulario de Inscripción para Adultos 2024

Infant and Child IEA in Family Day Care Home
IEA for DCH Provider's Own Children FY 2024
Adult IEA – English FY 2024
Aplicacíon de Elegibilidad de Ingresos Para Adultos 2024
Infant and Child IEA - English FY 2024
Aplicacíon de Elegibilidad de Ingresos Para Infante y Nino 2024

Income Eligibility Guidelines

Income Eligibility Guidelines 2023-2024
Income Eligibility Guidelines 2022-2023

Food Service Contract with Food Service Management Company(FSMC)
Food Service Contract with School Food Authority (SFA)
Invitation for Bids
Quotes or Bids Documentation
Annual Renewal - Food Service Contract

Agreement Between SO and DCH
Agreement Between SO and Unaffiliated Center
Certification of Single Exclusive CACFP Agreement
Certification Regarding Other Publicly Funded Programs
Information on Owners and Principals
Statement of Authority

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CACFP Forms

Contact Information

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000

Customer Service Center: 1-800-662-7030
Visit RelayNC for information about TTY services.

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