Attachment 20-A "Site Supervisor's Record of Meals Served Form" - Georgia (United States)

What Is Attachment 20-A?

This is a legal form that was released by the Georgia Department of Early Care and Learning - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Georgia Department of Early Care and Learning;
  • 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 Attachment 20-A by clicking the link below or browse more documents and templates provided by the Georgia Department of Early Care and Learning.

ADVERTISEMENT
ADVERTISEMENT

Download Attachment 20-A "Site Supervisor's Record of Meals Served Form" - Georgia (United States)

Download PDF

Fill PDF online

Rate (4.4 / 5) 28 votes
Bright from the Start: Georgia Department of Early Care and Learning
Attachment 20-A
A copy of this form must
be maintained at the site
Nutrition Services
for the duration of
Summer Food Service Program (SFSP)
program operation.
SITE SUPERVISOR'S RECORD OF MEALS SERVED FORM
*The Daily Meal Count
Records are to be submitted
to the Sponsor.
Sponsor Name:_______________________________
June
Site Name: _________________________________
Month:
May
July
August
Site Supervisor:______________________________
Sponsor Signature:*________________________
Site Supervisor Signature:*________________________ *I hereby certify that the information below is true and correct.
Meal Service:
A.M. Snack
Lunch
Supper
Breakfast
P.M. Snack
Instructions: to ensure accurate recordkeeping, transfer information from the Daily Meal Count form to the table below.
Date- record the date of meal service next to the corresponding day of the week.
Meals received/prepared- record the number of meals that were delivered or prepared for the current day of meal service.
Meal leftover from previous day- record the number of unitized meals (if any) that were left over from the previous day that were available to serve.
Total Meals Available for Serving- record the total number of meals that can be served for the day (leftovers from prev. day + meals received/prepared).
First Meal Served to Children- record the number of first meals served to children.
Second Meals Served to Children- Record the number of second meals served to children.
Program Adult Meals Served- record the number of meals served to Programs adults.
Non-Program Adult Meals Served- record the number of non-program adults served.
Total Meals Served- record the total number of meal served- (first, second, Program adult, Non-Program adult).
Damaged/Incomplete/Non-reimbursable meals- record the number of meals that were damamged or incomplete upon delivery and/or during the meal service.
Total Leftover Meals- record the number of unitized meals that are left over that you plan to serve during the next day's meal service.
MEALS
FIRST
SECOND
DAMAGED/
TOTAL
NON-
MEALS
LEFT OVER
MEALS
TOTAL
MEALS
MEALS
TOTAL
PROGRAM
PROGRAM
INCOMPLETE/
DATE
DAY
RECEIVED/
FROM
SERVED
LEFTOVER
SERVED TO
NON- REIM.
AVAILABLE
REIM-
ADULT
ADULT
PREPARED
PREVIOUS
TO
MEALS
FOR
CHILDREN
BURSABLE
MEALS
MEALS
MEALS
DAY
CHILDREN
SERVING
MEALS
SERVED
SERVED
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Bright from the Start: Georgia Department of Early Care and Learning
Attachment 20-A
A copy of this form must
be maintained at the site
Nutrition Services
for the duration of
Summer Food Service Program (SFSP)
program operation.
SITE SUPERVISOR'S RECORD OF MEALS SERVED FORM
*The Daily Meal Count
Records are to be submitted
to the Sponsor.
Sponsor Name:_______________________________
June
Site Name: _________________________________
Month:
May
July
August
Site Supervisor:______________________________
Sponsor Signature:*________________________
Site Supervisor Signature:*________________________ *I hereby certify that the information below is true and correct.
Meal Service:
A.M. Snack
Lunch
Supper
Breakfast
P.M. Snack
Instructions: to ensure accurate recordkeeping, transfer information from the Daily Meal Count form to the table below.
Date- record the date of meal service next to the corresponding day of the week.
Meals received/prepared- record the number of meals that were delivered or prepared for the current day of meal service.
Meal leftover from previous day- record the number of unitized meals (if any) that were left over from the previous day that were available to serve.
Total Meals Available for Serving- record the total number of meals that can be served for the day (leftovers from prev. day + meals received/prepared).
First Meal Served to Children- record the number of first meals served to children.
Second Meals Served to Children- Record the number of second meals served to children.
Program Adult Meals Served- record the number of meals served to Programs adults.
Non-Program Adult Meals Served- record the number of non-program adults served.
Total Meals Served- record the total number of meal served- (first, second, Program adult, Non-Program adult).
Damaged/Incomplete/Non-reimbursable meals- record the number of meals that were damamged or incomplete upon delivery and/or during the meal service.
Total Leftover Meals- record the number of unitized meals that are left over that you plan to serve during the next day's meal service.
MEALS
FIRST
SECOND
DAMAGED/
TOTAL
NON-
MEALS
LEFT OVER
MEALS
TOTAL
MEALS
MEALS
TOTAL
PROGRAM
PROGRAM
INCOMPLETE/
DATE
DAY
RECEIVED/
FROM
SERVED
LEFTOVER
SERVED TO
NON- REIM.
AVAILABLE
REIM-
ADULT
ADULT
PREPARED
PREVIOUS
TO
MEALS
FOR
CHILDREN
BURSABLE
MEALS
MEALS
MEALS
DAY
CHILDREN
SERVING
MEALS
SERVED
SERVED
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
Mon.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.