Forms for Child Nutrition Programs

Afterschool Snack Program

Afterschool Snack Schedule B SY 13/14 (fillable pdf)

Afterschool Snack Program Review Form / On-Site Review Form (.doc) 

Community Eligibility Provision

CEP District Notification Report

CEP School Notification Report


NSLP Equipment Assistance Grants- Fiscal Year 2013

DUE Friday May 9, 2014

Part I, Grant Description

Part II Section I District Application and Checklist

Part II Section 2 Application by School

Equipment Grant - Legal Requirements for Grants and Procurement

 Free and Reduced Price Meals 2013-2014 

         Eligibility Guidelines 2013-14

Free & Reduced Meal Applications 2013-2014 (doc)

Free & Reduced Meal Applications 2013-2014 (pdf)

Spanish Packet 04-30-13 (doc)

Spanish Packet 04-30-13 (pdf)


Healthy Schools

Committee Reporting Form for Nutrition and Physical Activity or Wellness Committee (.pdf)

Health Inspection Form 12/13

Wellness Policy

Wellness Committee Form Cycle 2 - October 1 Enrollment and Eligibles

Wellness Committee Responsibilities Documentation Form (October 2013)




Program Management


Menu Planning Tool (Lunch Menu Planning Tool beginning SY 2012-2013) – Developed by the Iowa Department of Education, Nutrition Services
Blank Recipe Form

Production Records
Meals Per Labor Hour Worksheet (SY2013-14) (Revised October 2013)

Sample Staffing Guidelines using Meals per Labor Hour (.pdf) (from Iowa Dept. of Ed. 9/27/06)
Documentation of Child Nutrition Training for Staff SY10/11
Training Hours (no watermark)
On Site Review (Revised January 2014)

Eligibility Master Roster 13-14 less than 1000 students

Eligibility Master Roster 13-14 over 1000 students

Direct Certification Other Students List

Certification of Disability for Special Dietary Needs Form (.pdf)
Time Certification Form - 100% Child Nutrition (.doc)
Time Certification Form - Less Than 100% Child Nutrition (.xls)
Bid Tabulation Form - August 2009 (.xls)



Claim Reimbursement 2013/14 (xls) - Instructions for Claim Form 2013/14 (doc)
Claim Reimbursement 2012/2013 (xls) - Instructions for Claim form 2012/2013 (doc)
Cash Management Worksheet (.xls)
Daily Record Form (.xls)
Edit Check Worksheet (.doc)
Safety Net Listing 2013-2014

FFVP Claim for Reimbursement (Excel) 2013-14 (SY 2013-2014 ONLY for those schools approved to participate in the FFVP) NOTE: Claim updated 08/13

FFVP Claim for Reimbursement (Excel) 2012-13 (SY 2012-2013 ONLY for those schools approved to participate in the FFVP) NOTE: Claim updated 06/12

Instructions for 2012-2013 FFVP Claim for Reimbursement (.doc) - NOTE:  This form was updated 6/12.

Summer Meals Program

Seamless Summer Schedule C-14 SY 13/14 (doc)

Seamless Summer Schedule C-14 SY 13/14 (pdf)

Verification Reporting

Verification Timeline

Other Students Report SY 13-14

FNS-742-SFA Verification Collection Report 2013 (2013)


 ARCHIVED FORM HISTORY - outdated form depository