SFSP Client Specific Forms and Information Client Name Client Specific InformationState Agency Name and Abbreviation (and pronunciation if applicable) State Online System/Software Name (and pronunciation if applicable) Other state specific names for SNAP, TANF State agency SFSP webpage link Forms, Documents and Templates If applicable, please provide the specific document name, acronym and location where users can find it for each form-type listed below. Additionally, please provide the file so we can correctly reference and link them in the presentation where appropriate.Sample Letter to Health Department (to notify of serving locations and operating dates) File – Sample Letter to Health Department (to notify of serving locations and operating dates)Max. file size: 512 MB.Pre-operational site visit form File – Pre-operational site visit formMax. file size: 512 MB.Income Eligibility Form File – Income Eligibility FormMax. file size: 512 MB.Unitized Meal Requirement Waiver template File – Unitized Meal Requirement Waiver templateMax. file size: 512 MB.Daily Meal Count Sheet File – Daily Meal Count SheetMax. file size: 512 MB.Monthly Consolidation Meal Count sheet File – Monthly Consolidation Meal Count sheetMax. file size: 512 MB.Procurement/Contract Templates File – Procurement/Contract TemplatesMax. file size: 512 MB.Delivery Receipt template for Vended Satellite Meals/delivery slips File – Delivery Receipt template for Vended Satellite Meals/delivery slipsMax. file size: 512 MB.First week Site Visit Form File – First week Site Visit FormMax. file size: 512 MB.Site Review Form File – Site Review FormMax. file size: 512 MB.Media release template File – Media release templateMax. file size: 512 MB.Racial/ethnic data collection form File – Racial/ethnic data collection formMax. file size: 512 MB.Civil Rights Complaint Procedure File – Civil Rights Complaint ProcedureMax. file size: 512 MB.Civil Rights Complaint Log Template File – Civil Rights Complaint Log TemplateMax. file size: 512 MB.Meal Pattern chart File – Meal Pattern chartMax. file size: 512 MB.Medical Statement/Special Diet Form File – Medical Statement/Special Diet FormMax. file size: 512 MB.Other QuestionsWhat percentage of eligible children participate in the SFSP in your state? Does the state have a specific definition of “foster child”?Do you have sample menus that you would like us to include/link? If so, please provide. Link or documentFile – sample menusMax. file size: 512 MB.Are there state-specific procurement thresholds?Are there any special requirements, procedures or forms for field trips? Link or documentFile – special field trip formsMax. file size: 512 MB.Age range for meals served to youth people age 19 and over with a mental or physical disability may also participate in the SFSP. (i.e. 19 and over, 19-26, or 19-27…)CAPTCHA
