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Confidential Income Statements for CACFP Organizations

Child Care Centers, Outside School Hours Centers and Adult Day Care centers who claim meals as Free or Reduced Price must have documentation to support how a participants eligibility is determined. TheConfidential Income Statement (CIS) is the most common form of documentation used in Child Care Programs to support participant eligibility determinations.

When distributing a Confidential Income Statement, the Letter to the Household must be included. The Letter to the Household explains the Confidential Income Statement.

For more information on Confidential Income Statements and the Letter to the Household, please refer to the Child and Adult Care Manual Chapter 3: Participant Enrollment and Eligibility; Chapter 21: Adult Day Care

Contact

For additional information or questions, contact the Oregon Department of Education Child Nutrition Programs by Email: Community Nutrition Programs or Phone: (971) 208-0490