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Get Kentucky Cacfp Forms

E to be submitted by the 30 th of each month. (702 KAR 6:110) CPT, 500 Mero Street Phone: (502) 564-5625 Frankfort, KY 40601 Claims Fax: (502) 564-8919 CNIPS ID: Claim Month/Year Sponsor Name: Site Name: DBA (Optional) : Site Address 1: Physical Address: Site Address 2: Phone Number: Attendance Reporting Information taken from site Form 17-9 Total Days of Operation: Total Attendance: Number of Enrolled Participants in Each Reimbursement Category Information taken from site Master Roster.

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