For family child care providers who are enrolled in the Child & Adult Care Food Program through The Family Conservancy, you can use any of these formats to submit your monthly menus for reimbursement.
Forms for Missouri providers
Download the PDF if you would like to print off these forms (for children and infants) and mail them in.
- Cover sheet
- Enrollment form
- Menu form
- Infant feeding preference form
- Direct Deposit Form
- Income Eligibility form for children in care
- Income Eligibility form for providers own children
- Meal Count Form
- Meal Count Form (Weekends)
In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write to USDA, Director, Office of Adjudication, 1400 Independence Avenue, SW, Washington DC 20250-9410 or call (866) 632-9992 (Voice). Individuals who are hearing impaired or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish). USDA is an equal opportunity provider and employer.