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Provider Documents

MEAL COUNT WORKSHEET
SAMPLE MEAL COUNT WORKSHEET
2022-2023 STANDARD MENU I
2022-2023 STANDARD MENU J
MENU CHANGE FORM – FILL IN
MENU CHANGE FORM - PDF
CHILD ENROLLMENT FORM
INFANT FEEDING FORM

STANDARD INFANT MENU
BUILDING FOR THE FUTURE POSTER
WIC POSTER 2022
MEDICAL STATEMENT
PROVIDER DATA SHEET-2022 FILL IN
DIRECT DEPOSIT AUTHORIZATION
INCOME STATEMENT
IRS FORM W-9

RATIO AND CAPACITY GUIDELINES
CREDITING HANDBOOK FOR THE CCFP

FOOD BUYING GUIDE INTERACTIVE TOOL
MEAL PATTERN FOR CHILDREN 1+
MEAL PATTERN FOR INFANTS
APPROVED UPC LIST
BLANK WEEKLY MENU
BLANK MONTHLY MENU

Helpful Nutrition Links

  • USDA Child Care Food Program
  • Food safety recalls
  • USDA Nutrition.gov
  • Nutrition information for children
  • Team Nutrition

   

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1-904-262-1185

12412 San Jose Blvd. # 302, Jacksonville FL 32223

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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: 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: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. This institution is an equal opportunity provider.