Nutrition Programs
Summer Food Service Program (SFSP) Forms and Documents
- Administrative Review
Checklist

- Blank Breakfast
Menu Form (ISBE 67-04B)
- Blank Lunch Menu
Form (ISBE 67-04A)

- Blank Supplement
Menu Form (ISBE 67-04C)

- Budget/Expense Report

- Camp Cost Worksheet

- Cash Disbursement
Journal

- Certifications (updated 1/09)
- Migrant

- National Youth Sports
Program

- Upward Bound

- Clarification
of Participation (ISBE 67-81)

- Daily Meal Count Form

- Daily Meal
Count Form—Consolidation
- Food Donation Documentation

- Food Service Agreement (ISBE 68-70)
(Updated 4/09) - Grassroots
and Minority Organizations Sample Letter
- Health Department Notification
Sample Letter

- Indirect Administrative
Cost Worksheet

- Indirect
Operating Cost Worksheet

- Labor—Administrative
Labor Worksheet
(Updated 2/09) - Labor—Operating
Labor Worksheet
(Updated 3/09) - Medical Exception
Statement for Food Substitution (ISBE 67-14A)
(Updated 10/09)
This form should be used when a child needs specific changes made to their meal(s) for medical reasons. - Milk Analysis
- Monitoring
- Pre-Operational
Visit (ISBE 67-16)
(To be completed before the start of operations) - Site Visit
Form
(To be completed during the first week of operation) - Site Review
Form (ISBE 67-42)
(To be completed during the first four weeks of operation) - Parent
Income Application and Instructions (ISBE 67-15)
(Updated 10/09) - Parent Income Application—Spanish Version
- Planning Checklist
- Production
Record Instructions
- Production Record

- Program Announcement
- Area Data (ISBE
69-71B)
- Residential
Camps (ISBE 69-71C)
- Individual Documentation
(ISBE 69-71D)
- Revenue Worksheet

- Training Agenda
and Roster

- Unitized
Meal Waiver







