North CarolinaDepartment of Health and Human Services
Division of Public Health; Women's & Children's Health Section
1914 Mail Service Center; Raleigh, North Carolina 27699-1914
Tel 919-733-2973 Fax 919-733-1384
|Michael F. Easley, Governor||
Carmen Hooker Buell, Secretary
May 14, 2001
|TO:||All Child and Adult Care Food Program Sponsors|
|FROM:||Arnette Cowan, Head
Special Nutrition Programs
|SUBJECT:||Income Eligibility Applications|
All Child and Adult Care Food Program sponsors must have on file an Income Eligibility Application for each enrolled participant classified as Free or Reduced. Centers must have CAC-11 or CAC11-A. The CAC-11 is also available in Spanish. The completed, signed and dated application must be current as of July 1, 2001.
Enclosed is a copy of the income eligibility applications for centers for fiscal year 2001-2002. These applications should be used for the period of July 1, 2001 through June 30, 2002.
If you have questions, please contact your Special Nutrition Program Regional Consultant.
cc: SNP Staff
( in .pdf format -- requires the FREE Acrobat Reader.)