To view and print any forms, you must have Adobe Acrobat installed on your computer. Click here to download the free Adobe Acrobat. Application for:  Family Independence Program, Food Stamp Program, Medicaid for Families and Children Program, and Other DSS Assistance. English Version En Espaņol   Afterschool Snack Program Claim for Reimbursement Inspection Documentation Form Policy Statement Site Information Form (Blank) Site Information Form (Sample) Training Registration Form Sample Letter from Qualifying School PM Snack Form (Blank) PM Snacks (Sample) Take Your Choice Snack List Child and Adult Care Food Program   Training Registration Form   Monitor Review Form - Centers Meal Records for Infants (Blank)   Individual Infant Meal Record   Infant Statement   Application for Free and Reduced-Price Meals   Meal Count Record (Actual)   Meal Count Record   Roster of Food Program Recipients (Free and Reduced Price Meals Eligibility)   Production Record - A.M.   Production Record - P.M.   Daily Menu Production Worksheet   Weekly Menu Form (Sample)   Weekly Menu Form (Breakfast through PM Snack) DSS 1674   Weekly Menu Form (PM Snack through Evening Snack) DSS 1674-1   Day Care Home (DCH) Withdrawal/Termination Form   Application for Tier I DCH Status Based on Providers Income   Application for Meals for Tier I DCH Provider's Household Children   CACFP DCH Provider Tier Determination   Income Eligibility Application for Tier II Client Households (DCH)   CACFP Child Enrollment Form (DCH)   Claim for Reimbursement (DCH)   Day Care Home (DCH) Add Form   Day Care Home Monitoring Form   Pre-Approval Training Checklist for DCH Providers Alternate Approval Self Certification Statement   07-08 Income Guidelines   Milk Inventory   Bread Grain Determination Form   Servings per purchase unit of cereal   Fact Sheet   Time Sheet for Centers   Building for the Future Flier   Construyendo Para El Futuro     07-08 Revised Adult participation letter for non-pricing     07-08 Revised Dear Parent letter for non-pricing Commodities (TEFAP) Program   TEFAP Commodity Agreement   Commodity Loss Report Form   Commodity Complaint Report Form Emergency Shelters Food Program Claim for Reimbursement Facility Information Form Policy Statement Pre-Approval Training Checklist Statement of Authority Meal Count Record (Actual) Roster Form Weekly Menu Form (Blank) Weekly Menu Form (Sample) Infant Meal Record (Blank) Infant Meal Record (Sample) Summer Food Service Program Change Form   TANF Verificaion form 12108