These links contain prototype forms with required information that must be provided to households and day care home providers:
- Letter to Households: Child Day Care and Tier II Providers and Adult Day Care
- Letter to Tier I and Family Day Care Home Providers
- Meal Benefit Income Eligibility Form: Child Day Care and Adult Day Care (with Instructions)
Note: States are not required to use the attached prototypes, but must ensure that the information is provided.
Meal Benefit Income Eligibility Form - English
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