Get Dss Form 3320 (jan 02).qxd - Sc Child Care Services - Scchildcare

Filing the DSS Form 3320 is essential for the reimbursement claims through the Child and Adult Care Food Program in South Carolina. This guide provides clear and step-by-step instructions to help users accurately complete the form and ensure prompt reimbursement.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the DSS Form 3320 and open it in your preferred editing tool.
2. Enter your agreement number by locating the designated field at the top of the form. This number is critical for identifying your claim.
3. Provide the name and address of the institution applying for reimbursement in the corresponding section on the form.
4. Indicate the month and year for which you are claiming reimbursement. Ensure that the details match your records.
5. Complete the total number of days food service was provided for the claimed month. Accurate information here prevents reimbursement delays.
6. Record the average daily attendance by tier, dividing it into Tier I and Tier II classifications. Input the corresponding data in the designated fields.
7. List the actual number of day care homes operating during the claim month under the appropriate Tier classifications.
8. In the meals section, detail the total number of eligible meals served to children in day care homes by category (breakfast, lunch, suppers, and supplements) according to the predefined tiers.
9. Complete the program income section, ensuring all entries adhere to budget caps and documentation requirements.
10. Consider entering any remarks that may clarify your claim or indicate special circumstances relevant to your application.
11. Affix the signature of the authorized representative, include their title, and note the preparation date at the end of the form. This ensures verification of the submitted information.
12. Once all sections are completed, review your entries for accuracy before saving, downloading, or printing the form for submission.

Ensure your claims are submitted accurately by completing the DSS Form 3320 online today.