Florida Department of Elder Affairs (ACFP) Enrollment Roster

Form Template

Once appropriately enrolled, each Adult Care Food Program (ACFP) participant’s name will remain on the ACFP enrollment roster during the entire contract year.

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Each new contract year requires new ACFP enrollment rosters. Program participants can use the Florida Department of Elder Affairs (ACFP) Enrollment Roster app to establish rosters. Institutions must establish new rosters when their institution’s contract is approved/renewed, on or after the start of the new contract year. Each roster page in the app should be labeled with the name of the institution, institution’s ACFP contract number, name of the administered facility and the institution’s contract approval date. Enrollment rosters are used for tracking meal eligibility and monthly ACFP participation activity.

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