Northwest Nutrition Service - Forms Page
Forms for Downloading

Meal Count Records for Master Menu Users  The form used to record meals served to daycare children that a provider wished to claim for reimbursement.  DOWNLOAD the Master Menu Meal Count Form Meal Count Records for Daily  Menu Users  The form used to record meals served to daycare children that a provider wished to claim for reimbursement.  DOWNLOAD the Daily Menu Meal Count Form
Menu Form  Back page of the meal count records form.  This form is used to record foods that a provider wished to claim for reimbursement for children over one year of age.  DOWNLOAD the Menu Form Infant Menu Form  Form used to record foods that a provider wishes to claim for reimbursement for children under one year of age. DOWNLOAD the Infant Menu Form
Enrollment Form  For enrollment of a child (or children from the same family) into the childcare food program.  
Download the Enrollment Form
Infant Enrollment Form  Infant enrollment form and two copies of the Infant Feeding Benefit Notification and Acknowledgment Form.  DOWNLOAD Infant Enrollment Form
Enrollment Form for Online Users  Use for enrollment of a child (or children from the same family) into the childcare food program for online users.  DOWNLOAD the Online Enrollment Form Child Attendance IN/OUT log sheet  Maintaining accurate time in/out records is mandatory.  This is a sample form you can use. DOWNLOAD the Child Attendance IN/OUT log sheet
Medical Statement Form  Use this form to record children's special allergy restrictions and requirements.
DOWNLOAD the Medical Statement Form
Holiday Verification Form  This form must be completed for each child and turned in with your menus if you provide daycare on a state/federal or school holiday.
DOWNLOAD the Holiday Verification Form

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