In addition, please provide a copy of the following:

childcare license

food inspection / service report

center holidays

if non-profit, copy of 501(c)3

if non-profit faith-based, (copy of consumer certificate of exemption) 

Please submit these documents by fax to (813) 281-1890 AND mail to:

Child Care Food Program

4100 W. Kennedy Blvd, Suite 301

Tampa, FL 33609

Please complete the following forms.  Print out,

sign, date and send with application documents


1. Initial Contact Form 2. Site Information 3. Shareholders Info (For Profit Only) 4. Statement of Authority (Non-Profit, Faith-Based Only)