CACFP Sample Forms & Instructions for Child Care Centers

This page contains CACFP Sample Forms and instructions for Child Care Centers, separated by state. Instructions are available in English and Spanish, when available. You can click on the images to download blank forms, but these are just samples, so please do not fill them out.

Find instructions and sample forms for your state

ALABAMA (AL)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form [Default]

Enrollment Form

Infant Form

ARIZONA (AZ)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form [Default]

Enrollment Form

Infant Form

ARKANSAS (AR)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

COLORADO (CO)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

CONNECTICUT (CT)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

DELAWARE (DE)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form [Default]

Infant Form

DISTRICT OF COLUMBIA (DC)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form [Default]

Infant Form

GEORGIA (GA)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form [Default]

Infant Form

IDAHO (ID)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form [Default]

Infant Form

ILLINOIS (IL)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

INDIANA (IN)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form [Default]

Enrollment Form

Infant Form [Default]

IOWA (IA)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form [Default]

KANSAS (KS)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form [Default]

Infant Form

MICHIGAN (MI)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

MINNESOTA (MN)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form [Default]

MISSOURI (MO)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

NEW JERSEY (NJ)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form [Default]

Infant Form [Default]

NORTH CAROLINA (NC)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

OHIO (OH)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

OREGON (OR)

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form [Default]

PENNSYLVANIA (PA)

Instructions for Completing Forms

Download Income Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form [Default]

Enrollment Form

Infant Form [Default]

TEXAS (TX)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Download Infant Form Instructions in English

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form

VERMONT (VT)

Instructions for Completing Forms

Download Income Form Instructions in English

Descargue las instrucciones del formulario
de ingresos en español

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form

Infant Form [Default]

WASHINGTON (WA)

Sample Forms - Do Not Fill Out

Click on the image to download a blank form. These are just samples, please do not fill out these forms.

Income Form

Enrollment Form [Default]

Infant Form

HELPFUL LINKS

Find Your State Agency

Visit our interactive map to find a link to your state agency.

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