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2012-2013 Confidential Income Statements-Income Eligibility Guidelines - Child Care, Head Start, Outside-School-Hours Centers

(X) Action Required

June 15, 2012

TO: Child Care Centers, Head Start, and Outside-School-Hours Centers

RE: 2012-2013 Confidential Income Statements and Income Eligibility Guidelines Child and Adult Care Food Program
  Action Required

Effective July 1, 2012, Child and Adult Care Food Program (CACFP) sponsors are to use the following forms and information to determine CACFP income eligibility and develop the One Month Attendance Report (OMAR).

The following letters and forms are posted on our website at: http://www.ode.state.or.us/search/page/?id=3280


For additional languages, sponsors may use the USDA-developed materials available on the USDA website: http://www.fns.usda.gov/cnd/care/Benefit_Forms/Translations.htm External Link

Important Notes:

  1. Download the Letter to Household from the ODE website and insert the appropriate information in the areas of bold brackets (English form only), prior to distribution. The Letter to Household must be distributed with the CIS.
  2. The CIS heading includes “Child Care Centers/Family Day Care Providers”. ODE CNP has made this a dual-purpose form. This is the correct form for Child Care Centers, Head Start, and Outside-School-Hours Centers, including pricing and non-pricing programs.
  3. The CIS “Sponsor Use Only” section is on the first page. Copy both sides of the CIS for distribution to parents.
  4. Income determinations based on the CIS will be valid for 12 months from the approval date. Refer to the May 14, 2012, Guidance on Income Eligibility Determinations and Duration Memo posted at: http://www.ode.state.or.us/wma/nutrition/memo051412.pdf
  5. Refer to the April 22, 2011, Foster Child Eligibility Memo and Q & A posted at: http://www.ode.state.or.us/search/page/?id=3282

Please recycle unused forms from the previous year and replace them with the current forms.

If you have questions or do not have Internet access and need a translated form, please contact your assigned Child Nutrition Specialist.

Sincerely,

Lynne Reinoso
Manager, Community Nutrition
Child Nutrition Programs
Office of the Superintendent




Contacts
  • Lynne Reinoso Email    (503) 947-5892
    Child Nutrition Program - Program Mrg, Community Nutrition Programs

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