Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to access the online version of the form and open it in your preferred editor.
2. Begin by filling out Part 1 with the children’s information, which includes the child's name, birthdate, age, and the normal days and hours of care. Ensure all columns are accurately completed for each child.
3. Next, indicate the meals and snacks normally received by circling the applicable options such as breakfast, lunch, supper, and snacks.
4. Proceed to the income eligibility section by checking the boxes that apply to your household status. This determines which parts of the form you need to complete.
5. If applicable, complete Part 2 by providing details of the household member receiving Basic Food, TANF, or FDPIR, including their name and case number.
6. For Part 3, list any foster children identified in Part 1 who may qualify under this category.
7. In Part 4, report total household income from the last month, including various income sources. If there is no income, write '0'. Ensure that you list all household members, including foster children.
8. In Part 5, the adult household member must sign and date the application. If applicable, provide the last four digits of their Social Security Number or check the box indicating they do not have one.
9. Finally, review all entries for accuracy, and then save your changes, download, print, or share the completed form as necessary.

Start filling out your form online today to ensure your eligibility for the Child and Adult Care Food Program.