Forms

FORMS

TYPE
INFO
FORM LINK
Afterschool Site Review Form Afterschool Care Program Meal Supplement Site Review Form
Free and Reduced Price Policy Assurances Special Provision Attachment G Special Assistance Provision 2 & CEP Assurances
Afterschool Assurances Attachment H Meal Supplement for Afterschool Care Program Assurances
Free and Reduced Price Policy Collection and Service Procedures Attachment J Collection and Service Procedures
Free and Reduced Price Policy Meal Accountability and Point of Service Attachment K Prototype Meal Accountability Procedures
Civil Rights Civil Rights Attachment N Civil Rights Requirements
Procurement Buy American Buy American Provision Justification Form
Procurement Equipment Capital Expenditure Pre-Approval Checklist
Procurement Equipment Capital Expenditure Pre-Approval Request FILLABLE Form – (NOT EQ.GRANT) – Fillable
Confidentiality Prototype Confidentiality Prototype Disclosure Agreement Form can be accessed from the GaDOE portal website at https://portal.doe.k12.ga.us/Login.aspx.
Breakfast Meal Count Form DE0112 Daily Record Of Number of Breakfasts Served
Afterschool Production Records DE0113 AfterSchool Care Program Menu Planner & Production Record
and
DE0113i Instructions AfterSchool Care Program Menu Planner & Production Record
USDA Foods Inventory Inventory DE0116 USDA Food Inventory Form
Lunch Meal Counts DE0118 Form Daily Record of Number of Lunches Served and
DE0118i Instructions Daily Record of Number of Lunches Served
Non-Reimbursable Foods Production Records DE0120 Form for Non Reimbursable Foods and
DE0120i Instructions Non reimbursable Foods Production Record
Breakfast and Lunch Production Records DE0121 Food Production Records Lunch & Breakfast and
DE0121i Instructions Food Production Records Lunch & Breakfast
Procurement Debarment Debarment Suspension and Ineligible Form
FFVP Equipment FFVP Equipment Pre-Approval Form
FFVP Production Records FFVP Production Record
FFVP Application FFVP Application Fresh Fruit and Vegetable Program
FFVP Timesheet FFVP Timesheet Prototype
USDA Foods Complaint Form Food Compliant Form SY19-20 and
Food Complaint Instructions – 2019 Update
Evaluation Production Records Meal Production Record Evaluation Tool
Special Needs Diets Medical Statement Medical Statement for Accommodating Disabilities
Special Needs Diets
SPANISH
Medical Statement Medical Statement for Accommodating Disabilities Spanish 2019
Breakfast and Lunch On-Site Monitoring Form On-Site Monitoring Review Form
Procurement Procurement Plan Procurement Plan Checklist
Seamless Summer Meal Count Form Seamless Summer Option Daily Meal Count Form
Seamless Summer On-Site Monitoring Seamless Summer Option On-Site Review Form
Seamless Summer Mobile Route SSO Mobile Route Template
Seamless Summer Site Information SSO Site information Sample Form
Seamless Summer Site Worksheet SSO Site Worksheet Template
Civil Rights Complaint USDA Civil Rights Complaint Form English
Civil Rights SPANISH Complaint USDA Civil Rights Complaint Form Spanish
USDA Foods DOD Complaint USDA DOD Complaint Form Fillable
USDA Foods DOD Request USDA DoD Request Form
USDA Foods Food Loss USDA Food Loss Report Form
Verification Record of Action Verification Record of Action Form
Verification School Worksheet Verification Worksheet for School Use Form
Web Based Application Checklist Web Based Applications Criteria and Procedure Annual Checklist
Free and Reduced
English and Spanish
Letters
Applications
Instructions
Attachment B English Application Packet

Attachment B Spanish Application Packet

Farm to School 2020 Vision 2020 Recording Tool
Breakfast and Lunch Meal Component Worksheets 3-Day Schedule Certification Worksheets
4-Day Schedule Certification Worksheet
5-Day Schedule Certification Worksheets
6-Day Schedule Certification Worksheets
7-Day Schedule Certification Worksheets
Extended Schedule Certification Worksheets
Community Eligibility Provision (CEP) Determination Worksheet and Concurrence Process Visit the CEP area of the website
Paid Lunch Equity Tool Resource Management PLE Tool SY 19-20
Non-Program Foods Compliance Tool Resource Management Non-Program Foods Compliance Tool
Food Safety Program Overview Form Program Overview Fillable Form
Procurement Review Procurement NSLP Local Agency Tools SP 33-2019 – Updated Template NSLP Procurement Review Tool SY 2019-20
SP 33-2019 – Updated Template NSLP Procurement Review Tool SY 2019-20
SP 33-2019 Attachment #1 Instructions – NSLP Procurement Review Tool
SP 33-2019 Attachment #2 – NSLP Procurement Review Tool
Free and Reduced Data FRL001 Report 9-4-19 Reporting of SY Free and Reduced Data for CEP Programs
9-4-19 SY Free and Reduced Data for Non-Provision Programs
9-4-19 SY20 Free & Reduced Data for Special Provision II Lunch Programs
Monthly Eligibility Calculator Non Base Year Orange
FTE Eligibility Calculator Non-Base YR Blue
Civil Rights LEP Checklist Services for LEP and Disabled Household Checklist
Civil Rights Complaint Procedure Sample Civil Rights Complaint Procedure
Civil Rights Complaint Log Sample Civil Rights Complaint Log
Civil Rights Special Diets Requirements Accommodating Special Diets
Checklist Schools Applying for Lunch Program Checklist for new schools applying for school lunch programs
Verification Notification Memo and Report Verification Memo.docx
Verification Collection Report SFA FNS-742
Tips for Completing the FNS 742
Wellness Compliance Local Wellness Policy Compliance Checklist
Wellness Compliance Triennial Assessment Form
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