Forms ...
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ENGLISH
- Child Enrollment Form
Important Note: Providers, give the parent a copy of the completed child enrollment form and the Building for the Future Flyer . Keep a signed copy of the Child Enrollment Form for your own records. - Medical Statement
- Direct Deposit Form
- Building for the Future Poster
- Provider Meal Benefit Form
- Parent Meal Benefit Form
- Annual Enrollment Status Update
- Kidkare Quick Tips
- KidKare Food List
- Building for the Future Brochure for Parents
SPANISH
- Registro de Niños
Nota Importante: Proveedor(a), suministre una copia de el Registro de Niños adjunto a una copia de Building for the Future Flyer. Tambien, mantenga una copia firmada del formulario de Registro de Niños para sus propios archivos. - Declaración Médica
- Formulario Deposito Directo
- Construyendo para el Futuro
- Formulario De Proveedor/a Para Beneficios De Alimentos
- Formulario para Padres para Beneficios de Alimentos
- Actualización Anual de Estatus de Participación
- Padres – Construyendo para el Futuro
- KidKare Guía de Inicio
- Lista de Alimentos KidKare
- Folleto Construyendo para el Futuro para Padres
PORTUGUESE
- Formulário de Matrícula da Infantil
Nota Importante: Provedores, forneçam aos pais uma cópia do Formulário de Matrícula da Infantil preenchido e o Folheto Building for the Future . Guarde uma cópia assinada do Formulário de Matrícula da Infantil para seus próprios arquivos. - Formulário de Benefício de Refeição do Provedor
- Formulário de Benefício de Refeição para Pais
- Atualização Anual do Status de Inscrição
- Panfleto Construindo para o Futuro para Pais
- Construindo para o Futuro
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In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
(1) mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: [email protected]
This institution is an equal opportunity provider.