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NYSED SFSP Attachments

Listed by Program Function

Understanding Program Basics:

Definition of Program Terms Att. 1
Glossary of Acronyms Att. 2
Proactive Planning and Checklist Att. 3
Meal Pattern Att.4
Exception to Meal Component Requirements for Jewish Institutions Att. 5
SFSP Federal Guidance Att. 6
SFSP Site Definitions and Eligibility Documentation Att. 7

Getting Started- Application and Planning:

Agreement to Furnish Food Service Att. 8
Food Service Equipment Needs Att. 9
Income Eligibility Form for the Summer Food Service Program Att. 10
Income Eligibility Guidelines Att. 11
Site Selection Worksheet Att. 12
Sponsor/Site Agreement Att. 13
Training Checklists and Sign-in Sheets Att. 14

Managing the Meal Service:

Meal Count Worksheet for Camps  Att. 15
Inventory Control Sheet Att. 16
Program Worksheet for Camp Sponsors Att. 17
Meal Count (Daily) Att. 18
Meal Count (Daily Tick Sheet) Att. 19
Meal Count (Weekly/Consolidated) Att. 20
Meal Count (Consolidated for 1st and 2nd Meals) Att. 21
Meal Count (Weekly to Claim) Att. 22
Food Production Record Att. 23
Field Trip Notification Form Att. 24
Job Description-Cook Att. 25

Recordkeeping, Cost Accounting and Claiming:

Checklist of Records Att. 26
Mileage Record Att. 27
Time Report Att. 29
Summary of Administrative Expenses Att. 30
Worksheet for Cost of Food Used Att. 31
Child Nutrition Mgmt. System Password Application Att. 33
Budget Revision Form Att. 34
Site Review Checklist Att. 35
Administrative Review Checklist Att. 36
Reimbursement Worksheet for Vended Sponsors: Urban  Att. 37
Reimbursement Worksheet for Self-prep Sponsors  Att. 38
New Site Information Sheet: Non Camp Sites Att. 39
New Site Information Sheet: Camp Sites Att. 40
New Site Information Sheet: Conditional Non-Congregate Site Att. 41
Pre-Operational Visit Form Att. 42
Site Visit Form Att. 43
Food Service Review Form Att. 44
Parent/Guardian Racial/Ethnic Data Questionnaire Att. 45
Racial Ethnic Data Att. 46
Allowable Administrative & Operating Costs Att. 47
2024 Reimbursement Rates Att. 48
Notification to the Community Att. 49
Parent Letter Att. 50

Notification Letter 

Federal Contract Provision 

Non-Congregate Meal Service Monitoring 

Att. 51

Att. 52

Att. 53



USDA Nondiscrimination Statement

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:, 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; or
  2. fax:
    (833) 256-1665 or (202) 690-7442; or
  3. email:

This institution is an equal opportunity provider.

Click here for Nondiscrimination Statement translations.