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USDA is an equal opportunity provider and employer. CACFP-4217 4/13 PAGE 1 OF 2 FOR STATE USE ONLY NDL/EPL Date.
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Read the instructions: Start by carefully reading the instructions provided with the cacfp 4217 form. This will help you understand the purpose of the form and the information you need to provide.
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Who needs cacfp 4217 form:

01
Child and Adult Care Food Program (CACFP) participants: Organizations or individuals participating in the CACFP, such as child care centers, family day care homes, after-school programs, or emergency shelters, may need to fill out the cacfp 4217 form.
02
Sponsors and operators: Sponsors and operators of CACFP centers or homes are typically responsible for completing the cacfp 4217 form. This form helps in ensuring compliance with CACFP regulations and reimbursement procedures.
03
State agencies: State agencies overseeing the administration of the CACFP may also require the completion of the cacfp 4217 form for monitoring, auditing, and program evaluation purposes.

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The cacfp 4217 form is a document used in the Child and Adult Care Food Program (CACFP) for reporting monthly claims of meals served to participants.
Child care centers and adult care centers participating in the CACFP are required to file the cacfp 4217 form.
The cacfp 4217 form should be filled out by entering the necessary information about the meals served, including the number of participants, types of meals, and dates of service.
The purpose of the cacfp 4217 form is to accurately track and report the number of meals served in order to receive federal reimbursement for the CACFP program.
The cacfp 4217 form requires reporting of the number of meals served, types of meals (breakfast, lunch, snacks, etc.), dates of service, and the number of participating individuals.
The deadline to file the cacfp 4217 form in 2023 may vary based on the specific regulations and guidelines set by the CACFP program. It is recommended to check with the program administrators or refer to the latest guidance for the deadline.
The penalty for the late filing of the cacfp 4217 form may also be determined by the specific regulations and guidelines set by the CACFP program. It is advised to consult the program administrators or refer to the latest guidance to understand the potential penalties.
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