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The form is designed for sponsors to record daily menu items for a ten-day period, allowing for administrative review and official approval by the ISBE to ensure eligibility for meal reimbursement. 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|  |  |  |  | SPONSOR NAME AND ADDRESS |  |\n| --- | --- | --- | --- | --- | --- | --- |\n|  | Child and Adult Care Food Program |  |  | Summer Food |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| Majority of children are ages:  1-2  3-5  6-12\u003Cbr>|  | CONTACT PERSON |  |  |  | TELEPHONE (Include Area Code) |\n\n\n| Component\u003Cbr>(See key above. ) |\n| --- |\n| M/MA:\u003Cbr>F/V:\u003Cbr>G/B:\u003Cbr>M:\u003Cbr>O/F: |\n| M/MA:\u003Cbr>F/V:\u003Cbr>G/B:\u003Cbr>M:\u003Cbr>O/F: |\n| M/MA:\u003Cbr>F/V:\u003Cbr>G/B:\u003Cbr>M:\u003Cbr>O/F: |\n| M/MA:\u003Cbr>F/V:\u003Cbr>G/B:\u003Cbr>M:\u003Cbr>O/F: |\n\n\n| MENU |  | ISBE\u003Cbr>CORRECTION | MENU |  | ISBE\u003Cbr>CORRECTION | MENU |  | ISBE\u003Cbr>CORRECTION |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| ITEM | PORTION |  | ITEM | PORTION |  | ITEM | PORTION |  |\n| Day 1\u003Cbr> |  |  | Day 2\u003Cbr> |  |  | Day 3\u003Cbr> |  |  |\n| Day 4\u003Cbr> |  |  | Day 5\u003Cbr> |  |  | Day 6\u003Cbr> |  |  |\n| Day 7\u003Cbr> |  |  | Day 8\u003Cbr> |  |  | Day 9\u003Cbr> |  |  |\n| Day 10\u003Cbr> |  |  | Day 11\u003Cbr> |  |  | ISBE USE ONLY\u003Cbr>Date ISBE-Approved Signature\u003Cbr>The menus have been approved with corrections noted. Any additional changes to the approved menus may make the meals ineligible for reimbursement. |  |  |\n\nISBE 67-04C (1/24) This institution is an equal opportunity provider.  Print   Reset Form","cbCaifIAP8arbMlW","https://ap.wps.com/l/cbCaifIAP8arbMlW","pdf",323611,"English","# Snack Menu Planning Guide\n## Program Overview\n## Nutritional Components and Standards\n## Reporting and Approval Process","[{\"question\":\"What is the purpose of this form?\",\"answer\":\"This form is used by sponsors to submit planned menus for approval by the Illinois State Board of Education to ensure compliance for program meal reimbursement.\"}]","Illinois State Board of Education - Snack Menus | PDF",1791599117]