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Form HS-1965B Revised July 2010 Tennessee Department of Human Services (TDHS) Child and Adult Care Food Program (CACFP) Application for Participation and Management Plan for Child Care Home Sponsor.

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How to fill out the Humanserv online

Filling out the Humanserv form is a crucial step for organizations seeking to participate in the Child and Adult Care Food Program. This guide provides clear, step-by-step instructions to help users navigate the online application process with confidence.

Follow the steps to complete and submit the Humanserv application.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by completing Section I, Sponsor Information. Fill in the name of the sponsoring organization, any alternate names, the 12-digit Agreement Number, and the Employer Identification Number. Ensure to include the mailing address and contact details.
  3. In Section I, answer the disqualification questions accurately. Indicate if your organization or any principals have faced disqualification from publicly funded programs and provide explanations as necessary.
  4. Move to Section II, Financial Viability and Management. Attach a comprehensive financial statement that outlines your organization's expenditures and sources of income for the last fiscal year.
  5. Complete Section III, Budget. Fill out and attach the Budget Detail Worksheet, detailing projected costs and funds available for the program.
  6. In Section IV, Administrative Capability, provide the qualifications of staff responsible for managing the CACFP and ensure you meet the monitoring staff requirements based on the number of homes sponsored.
  7. Address program accountability in Section V. Attach written procedures that ensure fiscal integrity, claims processing, and safeguarding of funds.
  8. Proceed to Section VI, where you will need to provide demographic information on potential eligible beneficiaries by ethnic and racial categories.
  9. If you are a new sponsor, complete Section VII. Describe unmet needs that your organization will address in the proposed sponsorship.
  10. Complete Sections VIII through XV, providing any additional documentation required, including news release details, governing board information, and outside employment policies.
  11. Once all sections are completed, review your entries for clarity and accuracy. Save your changes, and then download, print, or share the form as needed.

Start filling out the Humanserv application online today to ensure your organization can provide essential services through the Child and Adult Care Food Program.

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Checking SNAP (Food Stamps) or TANF (Families First) case status. To check the status of your case, you may use CaseConnect on the One DHS Customer Portal, or you may call the Family Assistance Service Center at 1 (866) 311-4287.

Clarence Carter - Commissioner - Tennessee Department of Human Services | LinkedIn.

The Department is responsible for administering numerous services throughout Tennessee, including Families First, the state's Temporary Assistance for Needy Families (TANF) program, Food Stamps (now known as the Supplemental Nutrition Assistance Program or SNAP), Child Support, Child Care Licensing, Child Care ...

If you require any additional assistance that is not covered above, please call the One DHS Contact Center at 1-833-772-TDHS (8347) or fill out a Customer Inquiry Form.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232