HACAP Corporate Office
P.O. Box 490
1515 Hawkeye Drive
Hiawatha, Iowa 52233
(319)393-7811
info@hacap.org

Equal Opportunity Employer

Forms



PDF 2006 HHS Poverty Guidelines, 52k
PDF 2007 HHS Poverty Guidelines , 74k
PDF 2008 HHS Poverty Guidelines, 52k
Word CACFP Half Sheet interactive, 151k
PDF CACFP Infant Menu, 43k
Other CACFP Infant Menu interactive, 126k
PDF CACFP MMA, 95k
Other CACFP MMA interactive, 27k
Word CCR&R Form Center Survey, 194k
Word CCR&R Form Homes Survey, 156k
Word CCR&R Form Preschool Survey, 390k
PDF Crisis Child Care Child Information Form, 7k
PDF Crisis Child Care Claim Form, 8k
PDF Crisis Child Care Daily Log, 13k
PDF Crisis Child Care Demographics, 13k
Word Crisis Child Care Enrollment Form, 15k
PDF Crisis Child Care Evaluation, 8k
Word Crisis Child Care Law Enforcement Authorization, 24k
PDF Crisis Child Care Medical Release, 8k
PDF Crisis Child Care New Provider Checklist, 25k
PDF Crisis Child Care Release of Information, 8k
PDF Fourth Street Dinner Menu , 23k
PDF HACAP Chronically Homeless Referral Form, 38k
PDF HACAP Chronically Homeless Referral, Interactive, 516k
PDF LiHEAP Application, 48k
PDF PACES Parent Brochure, 139k
PDF PACES Program Comparisons, 14k
PDF PACES Provider Brochure, 118k
PDF PACES-First Steps Brochure, 64k
PDF PACES-First Steps Survey, 19k