Printing Pre-Filled Income and Enrollment Forms

We’ve designed a single form that collects all the enrollment information required by USDA (participant’s normal days and hours in care as well as the meals normally received) along with the income information needed to place a household in an income category. Before using this form, we strongly recommend that you send it to your state agency for approval.

To generate a pre-filled income and enrollment form for a household:

• Click on “Participants & Rosters” on the main dashboard.
• Click on the name of the parent/guardian.
• At the bottom of the page, click on the blue “Create Participant Registration Form” button and the report will automatically download to your default location.
• The form will be prefilled with the following information:
• Child’s First and Last Name (all the children in the household)
• Date of Birth
• “Enrolled in Center” will be marked if a child is included in My Food Program. If there are additional children in the household that are not enrolled in the center, instruct the parent/guardian to write those children in on any remaining rows.
• Normal Hours
• Race/Ethnicity
• Parent/Guardian Name and Phone Number
• Household Address

When a household has a participant that is under 12 months old, the pre-filled income/enrollment form will include a third page to collect the information about whether the center or the parent/guardian is providing formula and food.