Blank Participant Registration Form Report

This report generates a blank 

• Enrollment form*
• Income form (except for family child care homes) and 
• Infant form. 

The appearance of the form depends on which state the site is located in and the type of site. Most state agencies accept the default My Food Program form, but in some states it is necessary to match the state agency template precisely.

Before using any enrollment, income or infant forms from My Food Program, you should always check first with your state agency to ensure that our format meets the recordkeeping requirements. If changes to our forms are needed, please contact us so that we can accommodate the recordkeeping requirements in your state.

The states listed below have forms that differ from the default My Food Program forms. If you do not see your state listed, then the default My Food Program forms will be generated.

• Family Child Care Homes: Enrollment and Infant Form
• All Other Site Types: Enrollment, Income and Infant Form

• Family Child Care Homes: My Food Program default form
• All Other Site Types: Enrollment, Income and Infant Form

• Family Child Care Homes: Colorado Enrollment and Infant Form
• All Other Site Types: Colorado Income Eligibility Form (IEF) for Child Care*

*Does not include the enrollment or infant form - centers should use their own version.

• Family Child Care Homes: My Food Program default form
• All Other Site Types: Florida Combo Form

• For all site types, including family child care homes: Georgia CACFP Meal Benefit Income Eligibility Statement, Household Letter, Building for the Future, Sharing Information with Medicaid/SCHIP, WIC, and Infant Affidavit.

• Family Child Care Homes: Iowa Child and Adult Care Food Program (CACFP) Enrollment Form
• All Other Site Types: My Food Program default form

• For all site types: CACFP Meal Benefit Income Eligibility/Enrollment Form (Child Care Centers, Outside School-Hours Care Centers and Day Care Homes)

• For all site types: Enrollment Form, CACFP Meal Benefit Income Eligibility Form (Child Care) and Infant Form

• For all site types: Participant Enrollment Form and Household Income Eligibility Statement

• Family Child Care Homes: My Food Program default form
• All other site types: Child Care Food Program Enrollment and Benefit Form

• Family Child Care Homes: Enrollment Form with Provider Signature
• All other site types: My Food Program default form

• For all site types: Child Participant Enrollment and Child Income Eligibility Application

• For all site types: Enrollment Form and Income Eligibility Application for Free and Reduced-Price Meals

• Family Child Care Homes: My Food Program default form
• All other site types: Enrollment Form, Infant Feeding Preference and CACFP Meal Benefit Income Eligibility Form

• Click on Reports from the main site dashboard. This will take you to the report selection screen.
  

• On the report selection screen, select the category Recordkeeping Reports

• On the list of reports, click on the one titled Blank Participant Registration Form
• Click the green Run Report button to generate a hyperlink
• Click on the Download Report hyperlink to download the report as a PDF.