Compiling CACFP Claims

Wisconsin Department of Public Instruction

Child and Adult Care Food Program

Child Care InstitutionsOutside of School Hours Care

CentersGuidance Memorandum #3Chttp://fns.dpi.wi.gov/fns_centermemos

Claim Documentation−Household Size Income Statements−Household Size-Income Record−Time of Service Meal Count Records−Attendance Records−Days of Operation−Dated Menus (listing substitutions, changes,

updates, etc.)−Production Records (Children ages 1-12 years)−Infant Meal Records, if applicable−Recipes−Child Nutrition Labels/Product Analysis Sheets−Original Food receipts, invoices etc.

Claiming Month Last Day for Online SubmissionJanuary April 1 (March 31 on leap years)

February April 29March May 30April June 29May July 30June August 29July September 29

August October 30September November 29

October December 30November January 29December March 1 (February 29 on leap years)

Claim Deadline Dates

On-Line Claiming

• Required

• Maintain confirmation

page from the internet

claim site

Online Confirmation Page

Claim Due Date

• Claim submission deadline of 60

days after the end of the claim

month

ENROLLMENT DATA

I. Child and Adult Care Food Program Enrollment Data

ENROLLMENT DATA

I. Child and Adult Care Food Program Enrollment Data

12 5 10 27

For-Profit Centers • Monthly eligibility requirement

• 25% of the children must be county-funded (W2 Child Care Assistance, i.e. Shares) or 25% must be determined as free or reduced

• Failure to meet the 25% means the center cannot be reimbursed for that given month

Participation Data

II. Participation Data

123

Average Daily Attendance

• Use daily attendance records, NOT meal counts

• ADA Total children in attendance days of operation

• Round all fractions up to the next whole number

Participation Data

5. Number of sites

6. Number of days of service

7. Average Daily Attendance

II. Participation Data

1

2321.1

22

Number of Meals Served to Children

II. Participation Data

Claiming Meals for Reimbursement

• 2 meals and 1 snack or 2 snacks and 1

meal per child per day

• Greater than 3 Meals

• Guidance Memorandum #9C

Number of Meals Served to Children

II. Participation Data

539

546

555

1640

Site Participation Data for Sponsoring Organizations

ABC Child Care 1 ABC Child Care 2

1 2 3 4 5 6 7 8 9 10

11

Participation Data: Sponsoring Organizations

34 17 38 89

2

21

82

The U.S Department of Agriculture prohibits discrimination against its customers, employees, and

applicants for employment on the bases of race, color, national origin, age, disability, sex, gender

identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental

status, sexual orientation, or all or part of an individual’s income is derived from any public

assistance program, or protected genetic information in employment or in any program or activity

conducted or funded by the Department.  (Not all prohibited bases will apply to all programs and/or

employment activities.)

If you wish to file a Civil Rights program complaint of discrimination, complete the

USDA Program Discrimination Complaint Form, found online at

http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992

to request the form. You may also write a letter containing all of the information requested in the

form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture,

Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by

fax (202) 690-7442 or email at program.intake@usda.gov.

Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the

Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).  

USDA is an equal opportunity provider and employer.