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Application for New Child and Adult Care Food Program (CACFP ...

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Certificate of Authority √ √<br />

if changed<br />

Submit the Certificate of Authority to<br />

identify the officials designated to act<br />

on behalf of the contracting entity.<br />

These individuals will also be given<br />

access, as designated, to TX-UNPS.<br />

Additional In<strong>for</strong>mation<br />

List of Required Documents<br />

Provider <strong>Application</strong>-Day <strong>Care</strong> Homes<br />

<strong>New</strong> CE Renewal<br />

CE<br />

Provider <strong>Application</strong> – Day <strong>Care</strong> Homes √ √ Those CEs that use TX-UNPS do the<br />

following:<br />

<strong>New</strong> Providers: Complete the Provider<br />

<strong>Application</strong> – Day <strong>Care</strong> Homes paper<br />

<strong>for</strong>m <strong>and</strong> maintain at your office.<br />

Complete the Provider <strong>Application</strong> –<br />

Day <strong>Care</strong> Homes screen in TX-UNPS,<br />

based on the contents of the paper<br />

application maintained at your office.<br />

You must make the paper application<br />

available <strong>for</strong> review by TDA. Send a<br />

copy of the completed <strong>and</strong> signed<br />

application to the provider.<br />

Continuing Providers: Complete the<br />

Provider <strong>Application</strong> – Day <strong>Care</strong><br />

Homes screen in TX-UNPS. Since this<br />

is a continuing provider, you do not<br />

have to obtain the provider’s signature<br />

on the paper <strong>for</strong>m. However, you do<br />

have to send the provider a copy of<br />

the completed screen from TX-UNPS.<br />

TDA will verify that the provider<br />

received copies of all revisions<br />

submitted by the sponsor on their<br />

behalf.<br />

Those CEs that do not use TX-UNPS<br />

will complete <strong>and</strong> submit this paper<br />

<strong>for</strong>m <strong>for</strong> each provider they sponsor.<br />

Send a completed <strong>and</strong> signed copy to<br />

the provider. This <strong>for</strong>m is also<br />

submitted when requesting revisions<br />

<strong>for</strong> a provider. You do not have to<br />

obtain the provider’s signature on the<br />

paper <strong>for</strong>m <strong>for</strong> revisions. However,<br />

you do have to send a copy to the<br />

provider. TDA will verify that the<br />

provider received copies of all<br />

revisions submitted by the sponsor on<br />

their behalf.

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