Breakfast Implementation Documents

Improvement Plan and Instructions for School Breakfast [Form 150]

Fact Sheets and Meal Patterns

After School Snack Meal Pattern [71] (23K PDF)
After School Snack Program Fact Sheet [224] (1,584K PDF)
Breakfast in the Classroom Procedures Brochure [302] (295K PDF)
Community Eligibility Provision (CEP) Fact Sheet [217] (283K PDF)
Fresh Fruit and Vegetable Program Fact Sheet [159] (18K PDF
NSLP 4 Day Meal Pattern [171] (88K PDF)
NSLP 5 Day Meal Pattern [198] (88K PDF)
NSLP 6 Day Meal Pattern [197] (88K PDF)
NSLP 7 Day Meal Pattern [180] (87K PDF)
NSLP What's on Your Tray Fact Sheet [101] (421K PDF)
Offer vs. Serve Poster [300] (368K PDF)
Offer vs. Serve Poster for Breakfast [185] (272K PDF)
Sample School Breakfast Program Offer vs Serve Policy [204] (49K PDF)
Sample School Lunch Program Offer vs Serve Policy [205] (47K PDF)
SBP 4 Day Meal Pattern [75] (81K PDF)
SBP 5 Day Meal Pattern [91] (34K PDF)
SBP 6 Day Meal Pattern [90] (85K PDF)
SBP 7 Day Meal Pattern [77] (84K PDF)
School Lunch Meal Pattern Grains Fact Sheet [104] (788K PDF)
School Lunch Meal Pattern Vegetable Sub-Groups Fact Sheet [138] (1.1MB PDF)
School Nutrition Programs Brochure [94] (1.18MB PDF)
School Breakfast Brown Bag Fact Sheet [95] (469K PDF)
Special Milk Programs Fact Sheet [102] (135K PDF)
Whole Grain Rich Ounce Equivalency Requirements for School Meal Programs [33] (22K PDF)

Food Buying Guide

Food Buying Guide Calculator, and Recipe Analysis Workbook
Food Buying Guide Mobile App

Food Service Management Companies Documents
Food Service Advisory Committee Sign Sheet [288] (39K PDF)
FSMC Directory [221] (80K PDF)

Free/Reduced Price Application Determination Forms For Seamless Summer Option
Sample Letter to Notify Household of Eligibility Status [409]
Sample Letter to Notify Household of Eligibility Status (Spanish) [409S]
Sample Letter to Notify Household of Incomplete Applications [408]
Sample Letter to Notify Household of Incomplete Applications (Spanish) [408S]

Free/Reduced Price Application Determination Forms

A-Z Reference List for Determining & Verifying Eligibility for School Meals [393]
Documentation for Homeless and Runaway Students [146A]
Documentation for Migrant Education Program (MEP) [146B]
Eligibility Guidance for School Meals [63] (59K PDF)
Error Prone Income Eligbility Guidelines [178]
Income Eligibility Guidelines [127]
Letter to Notify Household of Eligibility Status [70] (22K DOC)
Letter to Notify the Household of Eligibility Status in Spanish [70S] (41K DOC)
Letter to Notify the Household of Incomplete Application [64] (23K DOC)
Letter to Notify Household of Incomplete Application in Spanish [64S] (36K DOC)
Letter to Notify Audit Results [255] (41K DOC)
Letter of Notify Audit Results, Spanish [255-S] (42K DOC)
Master Eligibility List [128] (24K XLSX)
Sharing information with Other agencies [124] (69K PDF)
Sharing Information with Other agencies in Spanish [124S] (29K PDF)

Translated Family Friendly Application Forms

Access Information for Language Interpretation Services

Fresh Fruit and Vegetable Program

Farm to School Week or Month
FFVP Dates to Remember (24K DOC)
FFVP Educational Resources and Tips
FFVP Informational Handout (Word Document)
FFVP Informational Handout (PDF)
FFVP Monthly Budget (42K EXCEL)
FFVP Orientation Program
FFVP Principal Dos & Don'ts
FFVP Teacher Letter  (555K DOC)
Fruits and Veggies from A to Z (22,106K PDF)
Fruit & Veg Idea Calendar (25K DOC)
Large Equipment Purchase Request (17K DOC)
New Jersey's Quick Steps to Fruits and Vegetables Toolkit (18,427K PDF)
Sample Parent Letter English  (551K DOC)
Sample Parent Letter Spanish (554K DOC)
USDA Fresh Fruit & Vegetable Program Handbook 

HACCP and Biosecurity Food Safety Documents

Daily Freezer-Refrigerator Temperature Log [363]
Facility Overview [361]
HACCP-Based Standard Operating Procedures [373]
HACCP Process Charts [359]
HACCP Corrective Action Form [360] (32K PDF)
Thermometer Calibration Log [50]

Manuals
Accommodating Children with Disability in the School Meal Programs (1M PDF)
CEP Guidance (2.3MB PDF)
Contracting with a FSMC, Guidance for SFA Manual (937K PDF)
Early Care and Education Programs (11M PDF)
Monitoring Form for SSO
Offer vs. Serve Manual (194K PDF)
REVISED Eligibility Manual  (1,554K PDF)
Unpaid Meal Charges Guidance (2MB PDF)
Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs (11M PDF)
Whole Grain Resource for the NSLP and SBP (1M PDF)

On-Site Accountability

CEP Breakfast On-Site Review [293] (32K DOC)
Monitoring Form for SSO
National School Lunch Program On-Site Accountability Review Form [142] (32K DOC)
NSLP On-Site Review for CEP Sites [211] (32K DOC)
On-site Review After School Snack Program - ASSP [365] (63K DOC)
School Breakfast Program On-Site Review [292] (33K DOC)
RCCI NSLP & SBP On-Site Accountability Review  [324]

Procurement Documents

Appendix G Sample SFA-FSMC Monitoring Form [330] (164K PDF)
Buy American Exception Worksheet Instruction  [149]
Buy American Fact Sheet
Code of Conduct for Procurement and Procurement Checklist [325] (59K PDF)
Federal Funds Procurement Method Selection Chart Form [358]
Informal Procurement Log Evaluation & Instructions Form [331]
Procurement Procedures for SFAs [326]
Sample Code of Conduct for Procurement [327] (56K PDF)
Sample Procurement Procedures SFA Page 2 [383]

Production Records
ASSP Production Record [189] (149K PDF)
Daily HACCP Menu Production Record and Instructions [83] (83K XLS)
Production Record  - English [51]
Production Record – Spanish [51]
Production Record – Preschool English [398]
Production Record – Preschool Spanish [398]
Weekly Cold Vegetable Production Record with Instructions [156] (52K XLS)
Weekly Fruit Bar Production Record with Instructions [152] (47K XLS)

RCCI
RCCI Administrative Review (AR) Checklist and Guidance [73]
RCCI ASSP and Menu Count Record [257] (44k XLS)
RCCI Edit Check Worksheet [10] (154K PDF)
RCCI Eligibility Documentation Sheet [119] (57K DOC)
RCCI Group Home Intake Application [118] (34K DOC)
RCCI Lunch Menu & Meal County Record [12] (32K XLS)
RCCI Meal Pattern Exception Request Form [34] (61K DOC)
RCCI SBP Menu & Meal Count Record [58] (40K XLS)

Resource Management
Daily Income Worksheet [3] (73K XLS)
Daily Meal Count Worksheet [2] (51K XLS)
Financial Workbooks and Instructions [171] (431K XLS)

Special Milk Programs

Daily Milk Worksheet [84] (4K PDF)
Free and Paid Milk (FPM) Daily Milk Inventory [6] (117K DOC)
Guidance for Special Milk Programs [74] (140K PDF)
Guidance for Summer Milk Programs [13] (24K PDF)
Paid Milk Only (PMO) Daily Milk Inventory [5] (110K DOC)
SSMP Record (PMO only) [115] (8K XLS)

Support Documents

Calendar of Important Events [129]
CEP Daily Meal Count Tally Sheet [144]
CEP Edit Check Worksheet & Instructions [218]
Class Meal Roster & Instructions [162] (XLS)
Civil Rights Compliance Form [86] (44K PDF)
Daily Snack Count Record for Site-Area Eligible
Daily Snack County Record for Site-Area NOT Eligible
Discrimination Complaint Form & Instructions [148] (373K PDF)
Edit Check Worksheet and Instructions [40] (100K DOC)
Nonparticipating Schools Survey [399]
Sample Wellness Policy-Alliance for a Healthier Generation (165K DOC)
Standardized Recipe Form with Instructions [109] (35K XLS)
Tips for Evaluating a Manufacturer’s Product Formulation Statement [153] (242K PDF)
Tip Sheet for Accepting Processed Product Documentation [154] (102K PDF)
USDA Approved Milk Substitutions - Products [256] (45K PDF)
USDA Nondiscrimination Statement [213] (32K PDF)
Wellness Policy Assessment Tool [357] (911K PDF)

USDA Resources
Best Practices Sharing Center 
School Nutrition Environment and Wellness Resources

Vended Meals
Edit Check Worksheet for Vended Sponsors [37] and Instructions [37] (33K PDF)

Verification Packet – Forms for SSO and SFSP Participation
First Notice to Household (401)
First Notice to Household – Spanish (401S)
Second Notice to Household (402)
Second Notice to Household – Spanish (402S)
Verification Incomplete Letter (403)
Verification Incomplete Letter – Spanish (403S)
Verification Results Letter (404)
Verification Results Letter – Spanish (404S)
Verification Tracker (405)

Verification Packet – Forms for NSLP Participation
First Notice to Household [236]
First Notice to Household, Spanish [236S] 
Second Notice to Household [21] 
Second Notice to Household, Spanish [21S]
Verification Incomplete Letter [237] 
Verification Incomplete, Spanish [237S]
Verification Results Letter letter [244] 
Verification Results Letter, Spanish [244S]
Verification Tracker [242]

Verification Packet - Additional Resources
How to Submit Verification Documents via Smartphone [385]
Letter to Verify Employment [241] (21K PDF)
Notification of Sibling Status Change [318](42K DOC)
Verification Consolidation [243] (77K XLS)
Verification Guidance for School Meals [273] (33K PDF)

Link to Translated Family Friendly Application Forms
Access Information for Language Interpretation Services