Florida Adult Care Food Program (ACFP) Annual Information Certification Form

Form Template

The Adult Care Food Program provides food and nutritious meals to adults in long-term care, adult day care centers, and assisted living facilities.

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To supply adults in long-terms care facilities and assisted living homes, organizations must fill out the Florida Adult Care Food Program (ACFP) Annual Information Certification Form app and meet the minimum standards for the licensing program. Requirements include: the online application has been updated and is correct for the upcoming fiscal year, the current food service contract has been approved by the State agency, the current adult day care license, mental health day program contract, or community-based services provider certificate have been submitted to the State agency, the cycle of menus, four week cycle, has been submitted to the State agency for each reimbursable meal and/or snack, and more.

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