CACFP Administration & Forms
CACFP participants submit applications and file claims through the Texas Unified Nutrition Programs System: TX-UNPS.

Area Eligibility Based on Census Data

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Census data may be used to determine area eligibility for some SFSP sites. Eligibility is established when census data indicates that at least 50 percent of the children residing in the area are members of households that meet the income standards for free or reduced-price meals. Visit our page on Census Data to learn how to establish area eligibility using census data.

CACFP-Adult Day Care

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2019 Income Eligibility Guidelines for Determining Free and Reduced-Price Benefits  H1625-A Download File        CACFP-Adult Day Care
2020 Income Eligibility Guidelines for Determining Free and Reduced Price Benefits  H1625-A Download File        CACFP-Adult Day Care
Addendum - Option to Renew IFB and Contract for Purchased Meals ADC  IFB - RENEW ADC Download File  Download File      CACFP-Adult Day Care
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Adult Day Care Site  AMEND 1 Download File  Download File      CACFP-Adult Day Care
Annual Audit  AUDIT Download File  Download File      CACFP-Adult Day Care
Application for Texas Identification Number  AP-152 Download File        CACFP-Adult Day Care
CACFP - Centers Claim for Reimbursement - Site Level    Download File  Download File  Download File    CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form (Adult Care)    Download File  Download File      CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form (Adult Care) in Spanish    Download File  Download File      CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form Letter to Households (Adult Day Care)    Download File        CACFP-Adult Day Care
CACFP Meal Benefit Income Eligibility Form Letter to Households (Adult Day Care) in Spanish    Download File        CACFP-Adult Day Care
Certificate of Authority for External Users  FND-101 Download File    Download File  Download File   CACFP-Adult Day Care
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File      CACFP-Adult Day Care
Certification Regarding Federal Lobbying  H2049 Download File  Download File      CACFP-Adult Day Care
Child Nutrition Programs Waiver Request    Download File  Download File      CACFP-Adult Day Care
Claim for Reimbursement Worksheet - Meals  H4502 Download File  Download File  Download File    CACFP-Adult Day Care
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs    Download File        CACFP-Adult Day Care
Daily Meal Count and Attendance Record (Centers and Emergency Shelters)  H1535 Download File  Download File      CACFP-Adult Day Care
Daily Meal Production Record - Adult Day Care  H1654 Download File        CACFP-Adult Day Care
Direct Deposit Authorization  74-176 Download File        CACFP-Adult Day Care

CACFP-Child Care Center

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CACFP Meal Benefit Income Eligibility Form (Child Care)    Download File  Download File      CACFP-Child Care Center
CACFP Meal Benefit Income Eligibility Form (Child Care) in Spanish    Download File  Download File      CACFP-Child Care Center
CACFP Meal Benefit Income Eligibility Form Letter to Households (Child Care Centers)    Download File        CACFP-Child Care Center
CACFP Meal Benefit Income Eligibility Form Letter to Households (Child Care Centers) in Spanish    Download File        CACFP-Child Care Center
Certificate of Authority for External Users  FND-101 Download File    Download File  Download File   CACFP-Child Care Center
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File      CACFP-Child Care Center
Certification Regarding Federal Lobbying  H2049 Download File  Download File      CACFP-Child Care Center
Child Care Food Program Collection Procedures  H4515-A Download File  Download File      CACFP-Child Care Center
Child Nutrition Programs Waiver Request    Download File  Download File      CACFP-Child Care Center
Claim for Reimbursement Worksheet - Meals  H4502 Download File  Download File  Download File    CACFP-Child Care Center
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs    Download File        CACFP-Child Care Center
Daily Meal Count and Attendance Record (At-Risk)  H1535-AT Download File  Download File      CACFP-Child Care Center
Daily Meal Count and Attendance Record (Centers and Emergency Shelters)  H1535 Download File  Download File      CACFP-Child Care Center
Daily Meal Production Record - Child Care  H1530 Download File        CACFP-Child Care Center
Daily Meal Production Record - Infants  H1530-A Download File        CACFP-Child Care Center
Direct Deposit Authorization  74-176 Download File        CACFP-Child Care Center
Documentation of Meals Claimed  H1540 Download File  Download File      CACFP-Child Care Center
F&N Complaint Form    Download File        CACFP-Child Care Center
Food Service Management Company/Vendor Monitor Review  H1529 Download File  Download File  Download File    CACFP-Child Care Center
Free and Reduced-Priced Meal Policy Statement (For Contractors that Charge Separately for Meals)   H4515 Download File        CACFP-Child Care Center

CACFP-Day Care Home

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Performance Bond  BOND Download File        CACFP-Day Care Home
Permanent Agreement Between Sponsoring Organization and Day Care Home Provider(s)    Download File  Download File  Download File    CACFP-Day Care Home
Permanent Agreement Contracting Entity Specific Amendment - Name    Download File        CACFP-Day Care Home
Permanent Agreement Contracting Entity Specific Amendment - Programs    Download File        CACFP-Day Care Home
Pre-Approval Visit  H1607-P Download File  Download File      CACFP-Day Care Home
Pre-Award Civil Rights Compliance Review    Download File  Download File      CACFP-Day Care Home
Record of Leftover/Recycled Food  H1568 Download File  Download File      CACFP-Day Care Home
Review  H1607 Download File  Download File      CACFP-Day Care Home
Shared Eligibility Form    Download File  Download File      CACFP-Day Care Home
Start Up or Expansion Payments Agreement    Download File        CACFP-Day Care Home
Start Up or Expansion Payments Application    Download File  Download File      CACFP-Day Care Home
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement    Download File        CACFP-Day Care Home

CACFP - At-Risk Afterschool

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2013-2014 PEIMS School Data  PEIMS Download File        CACFP - At-Risk Afterschool
2014-2015 PEIMS School Data  PEIMS Download File        CACFP - At-Risk Afterschool
2015-2016 PEIMS School Data  PEIMS Download File        CACFP - At-Risk Afterschool
2016-2017 School Data  SCHOOL DATA Download File        CACFP - At-Risk Afterschool
2017-2018 School Data  SCHOOL DATA Download File        CACFP - At-Risk Afterschool
2018 - 2019 School Data  SCHOOL DATA Download File        CACFP - At-Risk Afterschool
Addendum - Option to Renew IFB and Contract for Purchased Meals CCC & DCH  IFB - RENEW CCC & DCH Download File  Download File      CACFP - At-Risk Afterschool
Addendum - Option to Renew IFB and Contract for Purchased Meals SFSP & At-Risk  IFB - RENEW SFSP & AT-RISK Download File  Download File      CACFP - At-Risk Afterschool
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Child Care Site  AMEND 1 Download File  Download File      CACFP - At-Risk Afterschool
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site  AMEND 2 Download File  Download File      CACFP - At-Risk Afterschool
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site - Sponsoring Organization Provides Meals/Snacks  AMEND 2 Download File  Download File      CACFP - At-Risk Afterschool
Annual Audit  AUDIT Download File  Download File      CACFP - At-Risk Afterschool
Application for Texas Identification Number  AP-152 Download File        CACFP - At-Risk Afterschool
Building for the Future English and Spanish - Black & White    Download File        CACFP - At-Risk Afterschool
Building for the Future English and Spanish - Color    Download File        CACFP - At-Risk Afterschool
CACFP - Centers Claim for Reimbursement - Site Level    Download File  Download File  Download File    CACFP - At-Risk Afterschool
CACFP Invitation for Bid (IFB) and Contract for Purchased Meals  IFB - CCC AND DCH Download File  Download File      CACFP - At-Risk Afterschool
Certificate of Authority for External Users  FND-101 Download File    Download File  Download File   CACFP - At-Risk Afterschool
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File      CACFP - At-Risk Afterschool
Certification Regarding Federal Lobbying  H2049 Download File  Download File      CACFP - At-Risk Afterschool

Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

Mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410

This institution is an equal opportunity provider.



Texas Department of Agriculture
Commissioner Sid Miller