Florida Adult Care Food Program (ACFP) Supplemental Budget Request Form

Form Template

Adult Care Food Program (ACFP) institutions that provide meals for adults in long-term care services must submit a prior request for supplemental budget items formally “Other” budget item.

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Please note, there is no extra money awarded or reimbursed for any items requested. These items, if approved, will only factor in to a facility's allowable costs. ACFP institutions can use the Florida Adult Care Food Program (ACFP) Supplemental Budget Request Form app to apply for a supplemental budget. Examples of items requiring prior specific approval include, but are not limited to: communication costs, smoke detectors, fire extinguishers, computer hardware and software, equipment purchases and repairs, insurance, materials and supplies, legal expenses, professional services, equipment depreciation and use allowance. Institutions can use the app to submit budget item requests and specify the budget amount.

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