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2013-2014 Confidential Income Statements-Adult Day Care Centers
2013-2014 Confidential Income Statements-Adult Day Care Centers
2013-2014 Confidential Income Statement - Adult Day Care Centers
Instructions for completing the CIS
Letter to Household
2013 - 2014 Income Eligibility Guidelines
(July 1, 2013 to June 30, 2014)
Important Notes:
Download the Letter to Household and insert the appropriate information in the areas of bold brackets, prior to distribution.
Refer to the Child and Adult Care Food Program Center Manual, Chapter 3, Eligibility Determination and Chapter 21, Adult Day Care, 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
The CIS “Sponsor Use Only” section is on the first page. Copy both sides of the CIS for distribution.
Contacts
Lynne Reinoso
(503) 947-5892
Child Nutrition Program - Program Mrg, Community Nutrition Programs
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