Child and Adult Care Food Program New Applicant Intake Form
This form provides basic information for CACFP to determine whether an institution would qualify for participation in the program. This is not an application for the program.
Please return completed form by email to or fax to 303-756-9926
For questions or more information, please call the main line at 303-692-2330.
Date of inquiry *
Institution Name
Do you have more than one center or site? *
Name of director or main contact *
Main contact's email address *
Main contact's phone number *
Type of agency *
Which type of care do you provide? *
FEIN (Federal Employer Identification Number) (*Required) *
Street Address (We do not accept PO boxes) *
City *
Zip Code *
County *
Is the site(s) licensed with the Colorado Department of Human Services (CDHS) *
License number
License capacity
Does the institution charge separately for meals? *
How did you hear about CACFP?
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