Breakfast Implementation Documents

Improvement Plan and Instructions for School Breakfast [Form 150]

Fact Sheets and Meal Patterns
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)
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)
Vegetable Sub-Groups [138] (159K PDF)
After School Snack Meal Pattern [71] (23K PDF)
Sample School Breakfast Program Offer vs Serve Policy [204] (49K PDF)
Sample School Lunch Program Offer vs Serve Policy [205] (47K PDF)
Offer vs. Serve Poster [300] (368K PDF)
Offer vs. Serve Poster for Breakfast [Form 185] (272K PDF)
Whole Grain Rich Ounce Equivalency Requirements for School Meal Programs [33] (22K 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)
NSLP What's on Your Tray Fact Sheet [101] (421K PDF)
Seamless Summer Option Fact Sheet [107] (234K PDF)
School Breakfast Brown Bag Fact Sheet [95] (469K PDF)
Fresh Fruit and Vegetable Program Fact Sheet [159] (18K PDF)
Special Milk Programs Fact Sheet [102] (135K PDF)
After School Snack Program Fact Sheet [224] (1,584K PDF)
Community Eligibility Provision (CEP) Fact Sheet [217] (283K PDF)
Breakfast in the Classroom Procedures Brochure [302] (295K PDF)

Food Buying Guide

Web-based Interactive Food Buying Guide, Food Buying Guide Calculator, and Recipe Analysis Workbook:  https://foodbuyingguide.fns.usda.gov/Home/Home

Food Buying Guide Mobile App:  https://www.fns.usda.gov/tn/food-buying-guide-mobile-ap

Food Service Management Companies Documents
Food Service Advisory Committee Sign Sheet [288] (39K PDF)
FSMC Directory [221] (80K PDF)
How to Calculate Cents Per Meal FSMC Fee [248CR]

Free/Reduced Price Application Determination Forms

Documentation for Homeless and Runaway Students [Form 146A]
Documentation for Migrant Education Program (MEP) [Form 146B]
Eligibility Guidance for School Meals [63] (59K PDF)
Error Prone Eligilbility Guidelines [178]
Free/Reduced Price Application Determination Forms [393]
Income Eligibility Guidelines [127]
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)
Notify HH Eligibility Status [70] (22K DOC)
Sample Letter to Notify the Household of Eligibility Status in Spanish [70S] (41K DOC)
Sample Letter to Notify the Household of Incomplete Application [64] (23K DOC)
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

FFVP 2019-2020 Application Packet (Form 355)
Fruits and Veggies from A to Z (22,106K PDF)
New Jersey's Quick Steps to Fruits and Vegetables Toolkit (18,427K PDF)
FFVP Dates to Remember (24K DOC)
FFVP Monthly Budget (42K EXCEL)
FFVP Teacher Letter (555K DOC)
Fruit & Veg Idea Calendar (25K DOC)
Large Equipment Purchase Request (17K DOC)
Sample Parent Letter English  (551K DOC)
Sample Parent Letter Spanish (554K DOC)
FFVP Informational Handout
FFVP Orientation Program

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

Manuals
REVISED Eligibility Manual 2017-2018 (1,554K PDF)
Offer vs. Serve Manual (194K PDF)
2017 Accommodating Children with Disability in the School Meal Programs (1M PDF)
Whole Grain Resource for the NSLP and SBP (1M PDF)
Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs (11M PDF)
CEP Guidance (2.3MB PDF)
Contracting with a FSMC, Guidance for SFA Manual (937K PDF)
Unpaid Meal Charges Guidance (2MB PDF)

On-Site Accountability

CEP Breakfast On-Site Review [293] (32K DOC)
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]
Seamless Summer Option On-Site Review Form [68] (156K PDF)

Procurement Documents

Appendix G Sample SFA-FSMC Monitoring Form [330] (164K PDF)
Buy American Exception Worksheet Instruction [149]
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

Letter Size Daily Menu Production Record [51] (72K XLS)
Legal Size Daily Menu Production Record [51] (72K XLS)
Production Record (Letter Size) Spanish [51S] (120K XLS)
Weekly Theme Bar Production Record [89] (49K XLS)
Weekly Fruit Bar Production Record with Instructions [152] (47K XLS)
Weekly Cold Vegetable Production Record with Instructions [156] (52K XLS)
Daily HACCP Menu Production Record and Instructions [83] (83K XLS)
ASSP Production Record [189] (149K PDF)

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)
Meal Pattern Exception Request Form for RCCIs [34] (61K DOC)
RCCI SBP Menu & Meal Count Record [58] (40K XLS)

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

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

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)
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
The “School Nutrition Environment and Wellness Resources” website:  https://healthymeals.fns.usda.gov/local-wellness-policy-resources/school-nutrition-environment-and-wellness-resources-0
“Tools for Schools” [http://www.fns.usda.gov/healthierschoolday/tools-schools ].
The “Best Practices Sharing Center” [https://healthymeals.fns.usda.gov/best-practices].

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

Verification Packet
We Must Check Your Application Letter [236] (34K DOC)
We Must Check Your Application Letter, Spanish [236S] (43K DOC)
Second Notice We Must Check Your Application [21] (33K DOC)
Second Notice We Must Check Your Application, Spanish [21S] (42K DOC)
Letter to Notify Parents of Incomplete Verification [237] (39K DOC)
Letter to Notify Parents of Incomplete Verification, Spanish [237S] (42K DOC)
Verification Tracker [242] (30K DOC)
We Have Checked Your Application letter [244] (37K DOC)
We Have Checked Your Application letter, Spanish[244S] (36K DOC)
Verification Guidance for School Meals [273] (33K PDF)
Notification of Sibling Status Change [318](42K DOC)
Verification Consolidation [243] (77K XLS)
Letter to Verify Employment [241] (21K PDF)
How to Submit Verification Documents via Smartphone [385]

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