Form DACS-01829 "Nslp Meal Counting and Claiming Certification" - Florida

What Is Form DACS-01829?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2012;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DACS-01829 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form DACS-01829 "Nslp Meal Counting and Claiming Certification" - Florida

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This form is to be
Florida Department of Agriculture and Consumer Services
signed and submitted
each year to the state
Division of Food, Nutrition and Wellness
agency as part of the
renewal process.
NSLP MEAL COUNTING AND CLAIMING CERTIFICATION
SCHOOL YEAR _________
ADAM H. PUTNAM
COMMISSIONER
Sponsor Name:
Sponsor Agreement Number:
Your meal counting and claiming procedures for SY 11-12 were approved which
included proper instructions for the point of service at the end of the serving line,
back-up procedures if using an automated system, verbal identification, procedures
for field trips, procedures for out of cafeteria service, and explanation of meal count
codes.
Please initial, sign and date the appropriate statement below and mail to your
program representative.
_________ I certify that the approved meal counting and claiming procedures for SY
11-12 are currently used with no additional revisions or modifications.
I certify that to the best of my knowledge and belief, this information is true and correct in all
respects and that records are available to support our meal counting and claiming procedures if
requested.
Signature of Certifying Official
Date
(Cannot be an FSMC employee)
I certify that revisions and modifications have been made to the
___________
approved SY 11-12 meal counting and claiming procedures, and I have provided
copies and full documentation to the state agency for approval.
I certify that to the best of my knowledge and belief, this information is true and correct in all
respects and that records are available to support our meal counting and claiming procedures if
requested.
Signature of Certifying Official
Date
(Cannot be an FSMC employee)
Food, Nutrition and Wellness
Florida Department of Agriculture and Consumer Services
600 South Calhoun Street, Suite 120
Tallahassee, FL 32301
DACS-01829 02/12
This form is to be
Florida Department of Agriculture and Consumer Services
signed and submitted
each year to the state
Division of Food, Nutrition and Wellness
agency as part of the
renewal process.
NSLP MEAL COUNTING AND CLAIMING CERTIFICATION
SCHOOL YEAR _________
ADAM H. PUTNAM
COMMISSIONER
Sponsor Name:
Sponsor Agreement Number:
Your meal counting and claiming procedures for SY 11-12 were approved which
included proper instructions for the point of service at the end of the serving line,
back-up procedures if using an automated system, verbal identification, procedures
for field trips, procedures for out of cafeteria service, and explanation of meal count
codes.
Please initial, sign and date the appropriate statement below and mail to your
program representative.
_________ I certify that the approved meal counting and claiming procedures for SY
11-12 are currently used with no additional revisions or modifications.
I certify that to the best of my knowledge and belief, this information is true and correct in all
respects and that records are available to support our meal counting and claiming procedures if
requested.
Signature of Certifying Official
Date
(Cannot be an FSMC employee)
I certify that revisions and modifications have been made to the
___________
approved SY 11-12 meal counting and claiming procedures, and I have provided
copies and full documentation to the state agency for approval.
I certify that to the best of my knowledge and belief, this information is true and correct in all
respects and that records are available to support our meal counting and claiming procedures if
requested.
Signature of Certifying Official
Date
(Cannot be an FSMC employee)
Food, Nutrition and Wellness
Florida Department of Agriculture and Consumer Services
600 South Calhoun Street, Suite 120
Tallahassee, FL 32301
DACS-01829 02/12