"Monthly Expenditures Worksheet - Adult Care Food Program" - Florida

Monthly Expenditures Worksheet - Adult Care Food Program is a legal document that was released by the Florida Department of Elder Affairs - a government authority operating within Florida.

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  • Released on July 1, 2017;
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ADULT CARE FOOD PROGRAM
MONTHLY EXPENDITURES WORKSHEET
Name of Site:__________________________
Month & Year: __________________
Day of
Invoice
Food
Non-Food
Food
Admin.
Indirect
Name of Payee
Total
Total
Month
Receipt #
Costs
Supplies
Service
Labor
Admin.
(Vendor, Store or Person)
Operating
Admin.
Costs
Labor
Costs
Costs
Costs
Costs
Costs
$
$
$
$
$
$
$
* TOTAL
** TOTAL
Internal Management Document for use by DOEA staff, contractors and subcontractors.
* TOTAL is entered on the Monthly Reimbursement Claim, Operating Expenditures’ line.
** TOTAL is entered on the Monthly Reimbursement Claim, Administrative Expenditures’ line.
Reviewed 07/2017
ADULT CARE FOOD PROGRAM
MONTHLY EXPENDITURES WORKSHEET
Name of Site:__________________________
Month & Year: __________________
Day of
Invoice
Food
Non-Food
Food
Admin.
Indirect
Name of Payee
Total
Total
Month
Receipt #
Costs
Supplies
Service
Labor
Admin.
(Vendor, Store or Person)
Operating
Admin.
Costs
Labor
Costs
Costs
Costs
Costs
Costs
$
$
$
$
$
$
$
* TOTAL
** TOTAL
Internal Management Document for use by DOEA staff, contractors and subcontractors.
* TOTAL is entered on the Monthly Reimbursement Claim, Operating Expenditures’ line.
** TOTAL is entered on the Monthly Reimbursement Claim, Administrative Expenditures’ line.
Reviewed 07/2017
ACFP
Monthly Expenditures Worksheet
Instructions
A provider must maintain receipts for operational or administrative costs to support the
claim. The Monthly Expenditures Worksheet is for providers to maintain their program
costs records.
Operating Expenditures: List the date, invoice/receipt # (if available), Payee, and the
cost for each cost type.
Food Costs (must be creditable foods)
• Approved menu items receipts or catering invoice
• Includes food items required to prepare a recipe.
Non-food Supplies Costs
• Items necessary to provide/serve the creditable meals.
• Example: napkins, plates, cups, eating utensils, cleaning supplies, etc.
Food Service Labor Costs
• May be claimed if noted on ACFP application and approved by State Agency.
• Costs associated with the salary for food service staff that prepare, serve
and/or clean up after program meals.
Administrative Expenditures:
Administrative Labor Costs
• May be claimed if noted on ACFP application and approved by State Agency.
• May include all or part of the salary of the individual(s) who are responsible
for maintaining daily/monthly ACFP support documents and records.
Indirect Administrative Costs
• Expenses shared by food service operation and pro-rated with other programs
within the organization. (rent, utilities, electricity, gas, sewer, water, trash).
The Total Operating Costs and Total Administrative Costs for each are entered on
the provider’s Monthly Reimbursement Claim.
ALL EXPENDITURES MUST:
• Be claimed for the calendar month incurred.
• Be supported by receipts/records which are maintained with the provider’s ACFP
monthly files.
Rev 7/17
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