Form HS-3069 Claim for Reimbursement Child and Adult Care Food Program - Tennessee

Form HS-3069 Claim for Reimbursement Child and Adult Care Food Program - Tennessee

What Is Form HS-3069?

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

FAQ

Q: What is Form HS-3069?
A: Form HS-3069 is the claim for reimbursement for the Child and Adult Care Food Program in the state of Tennessee.

Q: What is the Child and Adult Care Food Program?
A: The Child and Adult Care Food Program is a federal program that provides nutritious meals and snacks to eligible children and adults in child care centers, family day care homes, and adult day care centers.

Q: Who can use Form HS-3069?
A: Child care centers, family day care homes, and adult day care centers in Tennessee can use Form HS-3069 to claim reimbursement for providing meals and snacks through the Child and Adult Care Food Program.

Q: What expenses can be reimbursed through the program?
A: Expenses that can be reimbursed through the program include the cost of purchasing food, transporting food, preparing meals and snacks, and serving meals and snacks to eligible participants.

Q: How often can you submit a claim with Form HS-3069?
A: Claims can be submitted on a monthly basis using Form HS-3069.

ADVERTISEMENT

Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the Tennessee Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form HS-3069 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.

Download Form HS-3069 Claim for Reimbursement Child and Adult Care Food Program - Tennessee

4.6 of 5 (18 votes)
  • Form HS-3069 Claim for Reimbursement Child and Adult Care Food Program - Tennessee

    1

  • Form HS-3069 Claim for Reimbursement Child and Adult Care Food Program - Tennessee, Page 2

    2

  • Form HS-3069 Claim for Reimbursement Child and Adult Care Food Program - Tennessee, Page 1
  • Form HS-3069 Claim for Reimbursement Child and Adult Care Food Program - Tennessee, Page 2
Prev 1 2 Next
ADVERTISEMENT