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Food and Nutrition Service

U.S. Department of Agriculture

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CACFP Meal Benefit Income Eligibility Form

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Child and Adult Care Food Program

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Tools and Applications

Forms

Resource Materials

Meal Benefit Income Eligibility Form (.pdf) (673.80 KB)

Instructions and Letters (.doc) (74.12 KB)

Each file contains:

Letters to Households: Child Day Care and Tier II Providers and Adult Day Care
Letters to Tier I and Family Day Care Home Providers
Meal Benefit Income Eligibility Form: Child Day Care and Adult Day Care (with instructions)

Page updated: April 28, 2026

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Food and Nutrition Service

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