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Child Nutrition Programs

Updated Forms

Your entity has been identified as participating in one or more Child Nutrition Program.
Due to revised regulatory requirements, your entity’s Child Nutrition Program files must be updated.
 
The Child Nutrition Program(s) include:
  • School Nutrition Program (SNP)
  • Summer Food Service Program (SFSP)
  • Child and Adult Care Food Program (CACFP)
Your entity has a permanent Sponsor Agreement with the Pennsylvania Department of Education (PDE), Division of Food and Nutrition (DFN), indicating you agree to operate the program in compliance with federal and state regulations.
 
Attention exclamation mark inside triangleAll sponsors of the Child Nutrition Programs are now required to complete a new, updated Sponsor Agreement and additional documents (listed below) to continue operating the Child Nutrition Programs. The person responsible for overseeing the administration of the Child Nutrition Program(s) must sign the documents.
 
Sponsor Agreement (Child Nutrition Programs Policy Statement and Permanent Agreement)
The sponsor agreement is a single agreement and will cover ALL Child Nutrition Programs that you participate in.
 
CN PEARS User Authorization Form
The CN PEARS User Authorization Form is required for each user that has access to CN PEARS.
 
Additional Forms Required - CACFP Only
Non-Pricing/Pricing Policy Statement
Acknowledgement of Unannounced Monitoring Visits
 
Deadline:
All forms are due to DFN by April 12, 2019. All forms require a “blue-ink” signature. Digital copies will NOT be accepted. Failure to submit the updated documents by April 12, 2019 will prohibit your entity from further participation in the Child Nutrition Program(s). Failure to submit a new CN PEARS User Authorization form for each existing CN PEARS users will result in user accounts being inactivated

Please Note: All forms MUST be signed in BLUE Ink. Any forms received not signed in blue ink will be returned.
 

Documents

If you participate in School Nutrition Program (SNP) you will need to submit:
  1. Sponsor Agreement; and
  2. CN PEARS User Authorization Form for all employees who access CN PEARS.
If you participate in Summer Food Service Program (SFSP) you will need to submit:
  1. Sponsor Agreement; and
  2. CN PEARS User Authorization Form for all employees who access CN PEARS.
If you participate in Child and Adult Care Food Program (CACFP)
  1. Sponsor Agreement; and
  2. Non-Pricing/Pricing Policy Statement; and
  3. Acknowledgment of Unannounced Monitoring Visits; and
  4. CN PEARS User Authorization Form for all employees who access CN PEARS.
NOTE: If you participate in one or more Child Nutrition Program you will need to submit ONLY ONE Sponsor agreement. If you participate in more than one Child Nutrition Program, please coordinate with the other Child Nutrition Program Participants to submit a single sponsor agreement for your entity.

Download Documents

Documents

Instructions for Completing and Submitting the Sponsor Agreement and CN PEARS User Authorization Form

Sponsor Agreement (All Sponsors):

  1. Print Sponsor Agreement
  2. Review and sign the last page in blue ink.
  3. Return to:
    Pennsylvania Department of Education
    Division of Food and Nutrition
    Attn: New Forms
    333 Market Street, 4th Floor
    Harrisburg, PA 17126-0333

  4. PDE will attach the fully signed Agreement to the CN PEARS Sponsor Profile. Sponsors will be able to access the Agreement by clicking on the Attachments link. This will serve as the copy that each sponsor is required to keep on file. PDE will no longer mail a signed hard copy of the Sponsor Agreement to the sponsor.

CN PEARS User Authorization Form:

  1. Print and sign in blue ink (one form per CN PEARS user).
  2. Return signed User Authorization form(s) to:
    Pennsylvania Department of Education
    Division of Food and Nutrition
    Attn: New Forms
    333 Market Street, 4th Floor
    Harrisburg, PA 17126-0333

  3. User Authorization Forms are due by the above deadline. User accounts will be inactivated in CN PEARS, for any CN PEARS user that has not returned a new User Authorization Form by the due date.  If the user responsible for submitting claims cannot access CN PEARS, the monthly claim may be late and can result in lost funds.

Additional Forms - For CACFP Sponsors Only

Non-Pricing/Pricing Policy Statement and Acknowledgement of Unannounced Monitoring Visits:
  1. Print both documents. The Non-Pricing/Pricing Policy Statement is double-sided.
  2. Review and sign in blue ink.
  3. Return to:
    Pennsylvania Department of Education
    Division of Food and Nutrition
    Attn: New Forms
    333 Market Street, 4th Floor
    Harrisburg, PA 17126-0333

  4. PDE will attach the Non-Pricing/Pricing Policy Statement and Acknowledgement of Unannounced Monitoring Visits to the CN PEARS Sponsor Profile. Sponsors will be able to access these documents by clicking on the Attachments link. This will serve as the copy that each sponsor is required to keep on file.