Nutrition and Wellness Programs
Summer Food Service Program (SFSP) Forms and Documents
Note: Some documents are in
Instruction Sheet for filling out a Form ONLINE
- Administrative Review
Checklist

- Appeal Procedures
- Blank Breakfast
Menu Form (67-04B)

- Blank Lunch Menu
Form (67-04A)

- Blank Supplement
Menu Form (67-04C)

- Budget/Expense Report

- Camp Cost Worksheet

- Camp Meal Count Worksheet

- Cash Disbursement
Journal

- Certifications
- Migrant

- National Youth Sports
Program

- Upward Bound

- Clarification
of Participation (67-81)

- Daily Meal Count Form

- Daily Meal
Count Form—Consolidation
- Food Donation Documentation (67-17)

- Food Service Agreement

- Grassroots
and Minority Organizations Sample Letter
- Health Department Notification
Sample Letter

- Household
Income Application and Instructions (67-15)

- Household Income Application—USDA Spanish Version
- Indirect Administrative
Cost Worksheet

- Indirect
Operating Cost Worksheet

- Labor—Administrative
Labor Worksheet
(1/13) - Labor—Operating
Labor Worksheet
(1/13) - Management Plan Guidelines

- Medical Exception
Statement for Food Substitution (67-14A)

This form should be used when a child needs specific changes made to their meal(s) for medical reasons. - Milk Analysis
- Monitoring
- Pre-Operational
Site Review (67-16)

(To be completed before the start of operations) - Site Visit
Form
(To be completed during the first week of operation) - Site Review
Form (67-42)

(To be completed during the first four weeks of operation) - Planning Checklist
- Production
Record Instructions
- Production Record

- Program Announcement
- Area Data (69-71B)

- Residential
Camps (69-71C)

- Individual Documentation
(69-71D)

- Revenue Worksheet

- Sponsor Pre-operational Visit Checklist

- Time Report Documentation Sheets

- Training Agenda
and Roster








