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2013-2014 Confidential Income Statements

  • 2013-2014 Confidential Income Statement - Centers and Family Day Care Home Providers (English and Spanish)

  • Letter to Household (English and Spanish)

  • 2013-2014 Income Eligibility Guidelines (July 1, 2013 to June 30, 2014)

    Important Notes:

    1. Download the Letter to Household 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. Refer to the Child and Adult Care Food Program Center Manual, Chapter 3, Eligibility Determination for detailed instructions on the distribution and approval of CIS forms located at http://www.ode.state.or.us/wma/nutrition/cacfp/center-manual_revised-3-20-13.pdf




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

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