Child and Adult Care Food Program
Program Materials/Forms

New applications must be requested from OSPI. For more information and to receive a new application by mail, please contact a program specialist that serves your area.

Programs wishing to continue to participate in CACFP must complete a renewal application packet every year. An OSPI Bulletin is issued yearly with accompanying instructions and attachments.

File downloads are PDF and Word unless otherwise noted.

Online Application

• CNP 2000
• User Authorization Form
• Statewide Vendor Form

Center Forms

• Child Care Site Review Form
• Adult Care Site Review Form

Meal Count Records

• 3 Meals
• 5 Day Week; 4 Meals
• 5 Day Week; 4 Meals Alternate
• 5 Day Week; 5 Meals
• 6 Day Week; 4 Meals

Infant Meal Records

• Daily Infant Meal Record
• Daily Infant Meal Record - Extended Day
• Weekly Infant Meal Record Birth - 7 mo
• Weekly Infant Meal Record 8 - 11 mo

Special Dietary Needs / Substitution Requests / Allergies

• Request for Fluid Milk Substitution Child | Adult
• Medical Disability Statement for Food Substitution(s) Child | Adult
  • Sample Medical Disability Statement for Food Substitution(s) Child
• Medical Non-Disabling Statement for Food Substitution(s) Child | Adult
• Menu Substitution Guidance
• Milk Flow Chart
• Parent Provided Foods Flow Chart
• OSPI CACFP Approved Non-Dairy Beverages

Additional Program Requirements

• Civil Rights Complaint Procedure
• Civil Rights "And Justice for All" Poster
• Building for the Future Information Sheet
• Building for the Future Information Sheet - Spanish
• WIC Flyer
• WIC Flyer - Spanish

Appeals

• Appeal Procedure