At - Risk 5-Day Reconciliation - Arizona Department Of Education
Download a blank fillable At - Risk 5-Day Reconciliation - Arizona Department Of Education in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete At - Risk 5-Day Reconciliation - Arizona Department Of Education with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1State of Arizona
Department of Education
Child and Adult Care Food Program
AT – RISK 5-DAY RECONCILIATION
Sponsor Name/Address:
Site Name/Address (if different):
CTDS #:
Telephone Number:
Contact Person(s):
Title(s):
Date:
Meal Service Time:
5 Day Reconciliation
In the table below, report the total number of meals claimed for each of the 5 days prior to today (based on the meal
count sheets for previous 5 days).
1 Day Before
2 Days Before
3 Days Before
4 Days Before
5 Days Before
Meal
Date:
Date:
Date:
Date:
Date:
PM Snack
Dinner
In the table below, report the total number of participants in attendance for each of the 5 days prior to today (based
on sign in/out or attendance sheets for previous 5 days).
1 Day Before
2 Days Before
3 Days Before
4 Days Before
5 Days Before
Meal
Date:
Date:
Date:
Date:
Date:
PM Snack
Dinner
Compare the tables above.
1) Are there any discrepancies between the numbers claimed and the numbers in attendance?
Yes
No
If yes, describe:
2) Are the counts for today consistent with the past 5 days?
Yes
No
If no, explain why:
This institution is an equal opportunity provider and employer.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Ade 5-day Reconciliation Form For Multiple Site Sponsors And Multiple Single Center Participants - Arizona Department Of Education
Legal
Optional 200 Day Instructional Calendar Compliance Form - Arizona Department Of Education - 2018
Legal
Related Categories
Parent category: Legal