ࡱ> _ ̈bjbjjj ;,b,b 008A3x$!!!!" ## <2>2>2>2>2>2>2$C57b2$#""$#$#b2!!H2p'p'p'$#:!!<2p'$#<2p'p':+, ,!<؁^#+ (230A3+R8^#8 , ,8 ,$#$#p'$#$#$#$#$#b2b2p'$#$#$#A3$#$#$#$#8$#$#$#$#$#$#$#$#$#0B r: Wisconsin Department of Public Instruction GROUP CHILD CARE LICENSE EXEMPTION FOR CACFP PARTICIPATION PI-6016 (Rev. 06-18)Each site participating in the Child and Adult Care Food Program (CACFP) as an At-Risk Afterschool Program, Outside of School Hours Care Program or Emergency Shelter, that does not have a child care license issued by the Wisconsin Department of Children and Families (DCF), must obtain annual certification from DCF of its exemption from Wisconsin child care licensing regulations (DCF 251).INSTRUCTIONS Complete this form for each site and submit to: Department of Children and Families Licensing, Attention: Tina Feaster by email:  HYPERLINK "mailto:Tina.Feaster@wisconsin.gov" Tina.Feaster@wisconsin.gov or by fax (608) 267-7252. 2. Once the form is reviewed and signed by the DCF representative, a copy will be returned to your agency. 3. Upload the DCF signed form to your online CACFP contract.GENERAL INFORMATIONSite Name  FORMTEXT      County  FORMTEXT      DPI Agency Code If assigned  FORMTEXT      Site Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip  FORMTEXT      Site Contact Person  FORMTEXT      Contact Person Email  FORMTEXT      Telephone Area/No.  FORMTEXT      Site Operated By  FORMCHECKBOX  School  FORMCHECKBOX  Community Center  FORMCHECKBOX  Church  FORMCHECKBOX  Other Specify:  FORMTEXT      Name of Legally Responsible Corporation or Individual  FORMTEXT      Owner/President Name  FORMTEXT      Telephone Area/No.  FORMTEXT      Street Address of Legally Responsible Corporation or Individual  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip  FORMTEXT      Federal Employer Identification Number (FEIN)  FORMTEXT      Is Site Operated Under a Contract With a School?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoHas This Site Ever Been Licensed in the Past?  FORMCHECKBOX  Yes When  FORMTEXT        FORMCHECKBOX  NoHas This Site Ever Had a License Denied, Revoked, Suspended, or Not Renewed?  FORMCHECKBOX  No  FORMCHECKBOX  Yes Specify:  FORMTEXT      Age of Children ServedHours of OperationDays of OperationMonths of OperationTypes of ProgramsYoungest:  FORMTEXT       Oldest:  FORMTEXT      AM Start Time:  FORMTEXT       End Time:  FORMTEXT       FORMCHECKBOX  Sunday  FORMCHECKBOX  Monday  FORMCHECKBOX  Tuesday  FORMCHECKBOX  Wednesday  FORMCHECKBOX  Thursday  FORMCHECKBOX  Friday  FORMCHECKBOX  Saturday FORMCHECKBOX  Jan  FORMCHECKBOX  Feb  FORMCHECKBOX  Mar  FORMCHECKBOX  April  FORMCHECKBOX  May  FORMCHECKBOX  June FORMCHECKBOX  July  FORMCHECKBOX  Aug  FORMCHECKBOX  Sept  FORMCHECKBOX  Oct  FORMCHECKBOX  Nov  FORMCHECKBOX  Dec FORMCHECKBOX  Before/After School Site  FORMCHECKBOX  Homeless/Domestic Shelter  FORMCHECKBOX  Community Learning CenterHow many children under the age of 7 years can be enrolled at any one time?  FORMTEXT    AM Start Time:  FORMTEXT       End Time:  FORMTEXT      Do Parents/Guardians Remain Onsite During Care?  FORMCHECKBOX  No  FORMCHECKBOX  Yes Specify : FORMTEXT      Comments:  FORMTEXT      CERTIFICATION / SIGNATUAREI ATTEST that all information given in this form is true and accurate to the best of my knowledge. Signature of Site Contact Person (Date Signed Mo./Day/Yr DCF USE ONLY Do Not Write Below This LineBased on the information provided in this form, the program named above is:  FORMCHECKBOX  NOT required to maintain a child care license.  FORMCHECKBOX  Required to maintain a child care license. Name of DCF Child Care Licensing Representative PrintSignature of DCF Child Care Licensing Representative (Date Signed Mo./Day/Yr  FORMCHECKBOX  Copy emailed to Site Contact Person-PQhilprxy{|~    # $ , .  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"$IfgdI kd?$$IfP4;ֈ,40*  e e2  tP44 Paf4p<ytAV8:<rt $IfgdjK6MkdA$$IfP40*0* tP44 Paf4p yt$tv>i^ "($Ifgd)kd2B$$IfP4F 0*F  tP    44 PBaf4pytVp>@ ($Ifgd$ &$Ifgd$ "$Ifgd$Kkd C$$IfP40*0* tP44 Paf4p yt@8J UVdefgjksøØzsi^VhUsk^JaJhUskhUsk^JaJh~XCJOJQJ hVph~XjEh<h!UhVphUsk0J! hUskhUsk h~XhUskhUskj|Eh<h!U h<hUskjh<hUskUhUskhUsk5 h]lh~Xh]lh~Xh$CJOJQJh$h$6 h$h$ jh~XCJOJQJ! $Ifgd]l $IfgdjK6ekdC$$IfP4]0t"0*t" tP44 Paf4pyt@8J Ui^K" v($If^vgd) "($IfgdVpkdQD$$IfP4F\ 0*\  Fx\    tP    44 PBaf4pyt@8J @BYZ ($IfgdjK6 &$IfgdjK6 "$IfgdjK6 "$IfgdUskVkddF$$IfP40*0*    t P44 Paf4p yt)  ?@ANYZ[\jklzĂƂVXڃ܃BDɷɷ~z~iT~z~iT~)jhh0JCJ OJQJUaJ hh0JCJ OJQJaJ hjhUhhCJ OJQJaJ UjHh<h!U h<hUskjh<hUskUhUskCJOJQJh$hUsk6 h$hUsk jhUskCJOJQJhUskhUsk^JaJhUsk hUskhUskhUskhUsk6^JaJ Z[n[" v($If^vgdkdF$$IfP4F:t"0*: :   tP    44 Paf4pyt]lE=8gdl<dgdVpKkdI$$IfP40*0*  tP44 Paf4p yt]l$($Ifa$gd) $IfgdVkdH$$IfP4>0*0*     t P44 Paf4p yt)In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the  HYPERLINK "http://www.ocio.usda.gov/sites/default/files/docs/2012/Complain_combined_6_8_12.pdf" \t "extWindow" \o "Opens in new window." USDA Program Discrimination Complaint Form, (AD-3027) found online at:  HYPERLINK "http://www.ascr.usda.gov/complaint_filing_cust.html" http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) Mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) Fax:(202) 690-7442; or (3) Email:  HYPERLINK "mailto:program.intake@usda.gov" program.intake@usda.gov This institution is an equal opportunity provider.      >@ˆĈʈ̈οhPjhPUh|]hkCJ aJ hVpCJOJQJ hVphVpCJ OJQJ^JaJ hhCJ OJQJaJ )jhh0JCJ OJQJUaJ hh0JCJ OJQJaJ jhUhˆƈȈʈ̈dgdVpgdl< 9 0&P1h:pX|/ =!"#$% Dd8Z  vA?logo_formsPicture 1logo_formsb?t>\51ArD= nj?t>\51APNG  IHDR.bssRGBgAMA a cHRMz&u0`:pQ<PLTE  !!!"""###$$$%%%&&&'''((()))***+++,,,---...///000111222333444555666777888999:::;;;<<<===>>>???@@@AAABBBCCCDDDEEEFFFGGGHHHIIIJJJKKKLLLMMMNNNOOOPPPQQQRRRSSSTTTUUUVVVWWWXXXYYYZZZ[[[\\\]]]^^^___```aaabbbcccdddeeefffggghhhiiijjjkkklllmmmnnnooopppqqqrrrssstttuuuvvvwwwxxxyyyzzz{{{|||}}}~~~]} pHYs.#.#x?vtIME%(&tEXtSoftwareAdobe Photoshop CS4 Macintosh<qIDATx^yxE; GC6K%@"K1+r+ TC]YCY.p9FP B# $BdfW5O׊WSmWm֡4{G#9g9¶p}: ai ax#/i/`0%BmDtk|?@pm$C 3J4 PQnD <}#r{}"{2›-^ -<,`PgB d9Kvx@%f Ÿ C%Vd#e J쫟 PI@_rﱐp#,  Y-a$%n-aޮ--U$LLHT&gp8|z'*aʆgҷOk&HxZHcC ,@a[<:=XJvX`Ns>U+^ȳ{O+E}fT[Cq2k͢0ŕT8͹D|UJ=\C#tM/hE8B &\ߙCG4:a Jf>"!tU:M,"TgDteCLPhVEH, #l媲eMn:6hƊ:vcM hmbfʳ37kpGMxMk2'A)Ӫ[)dIa~<5D9m tH$BeVN |Rxncc1ɍ/P&e0DB9ff̙Y%W@&'Һi>+W,T.}WϧdKn/AZ*:,hdB}"#9yC@,XL"(ޓPWygL<աAG!tGly]OyQRz+0], ҠSb, =IMUCV{ (zpPNdg(q 0ehtWwtzz3dz6!z~_|vX7?u^!pߛk.QFG"=5,U[:LD;魸+PyY+un-Fu:5o4ngF7 b4Hwǻ(JGѡwHEtnw[%( N/hV@<MH6ܳs(l]}FkJtMu%x&Bm?=*?3}9x!5A.Oj)*r];b$۸zSth F{ 5h.Е~cbWxS9OƾإUHMe4f};[B5k~:4ܽRQKRmIxR~IEc]!ntA͗!hu~e>us_Йus9B7F8cWcARыrAd@_C tVSpA8m65C\ ?ɀ5 %@{E;b$ĒCMWhap q+DzESGڧKJV@nNs1#$v$`}L+~O8c`]_7>RM?PudV׺@B#aV^%EEG1>bT:;D,| y <,Q,t3X:\0Bzp-љn$آktKQKP<% F7Pe|x nJWe#[tc  Y2 !}Cw^sC GE/Nr )[_}-y$^1u@!=b̀˱:+wb|s'T#'қh.f':zCY% Q3@5lA9EZ`1-3NdU}dJFCO 6ly]"t Azp;(tD++-KD ]:e$TՙlO y7)-l)GX#'Q̄.VDO_r")Hͫ)+^ũr3"=LizPc} v+WGPD̋йT=pE|S O0`,ΝL:SAhn~k1 b$ZĚL꾁nw%:.euI#aTd]7+bZ=,'#+ Ky7Ο0k6})wT| RotьTքuH`+POgR v7Z鵋? *ǿRYy $OY8kѸ].g)gO}eפ-6c)07ұi[V0r4{ӍkF˒&[BHr/9'ڲb}n۶mο&}NӪnK[ 7o,M p'D4[3tKƏ~C?Dnעe˦k`ڈ,Kݷr.ȚP'lwM{7YOMHWnKlEXLDHEfV}JNI"}Dk?#T1XKD42rYz֩ |!d'Fgmn`+Ȅo:T 6M;d?Bވ݀?\㇄9-ۮ  t P,50*/ /  4 Pf4p yt)$$IfP!vh#v0*:V P4 tP50*/  / / 4 Pf4p yt]l*s666666666vvvvvvvvv66666>666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ 0NormalCJ_HaJmH sH tH DA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List @@ d8 List Paragraph ^m$jj ,h Table Grid7:V0HH d0 Balloon TextCJOJQJ^JaJN/!N d0Balloon Text CharCJOJQJ^JaJ424 l<0Header H$6/A6 l<0 Header CharCJaJ4 @R4 l<Footer H$6/a6 l< Footer CharCJaJborb |]Default 7$8$H$-B*CJOJQJ^J_HaJmH phsH tH 6U`6 0 Hyperlink >*B*phB' B 0Comment ReferenceCJaJ<< 0 Comment TextCJaJ:: 0Comment Text Char@j@ 0Comment Subject5\F/F 0Comment Subject Char5\LB@L q Body Text dCJOJQJaJ@/@ qBody Text Char CJOJQJ<O< VpHEADING $<(a$5XoX "2sTable Heading CharCJOJQJ_HmH sH tH dod !2s Table Heading"d(d1$CJOJQJ_HmH sH tH PRP X| Table Text%$dxa$CJOJQJaJ@Ob@ $Fill-in - Left&CJaJBOarB $Fill-in Centered'$a$JOaJ X|Fill-in Indented($^a$TT X|Fill-In Narrative) h8CJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w<v   J z.4v̈ !#%()*,-016:E z&v<8t>Z̈"$&'+./2345789;<F$;GMT`fnz} #3<L_ox!6BH"([kqGW\l{   % + < H N Z f l n ~   % 5 ; K Q a g w     , 2 B ] m    # / 5 A M S )9jz/?=S@mXFFFFFFFFFFG G$G$G$FFFFFFFFFG$G$G$FG$G$G$FFFFFG$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$FFFG$G$FtFG$G$G$XXXT # @H 0(  0(  B S  ?Text1Check1$4hhlpr|kq%;NTgn~ !""#4KLnoww"6I)jkEVWkl{  , < O Z m } ~    4 5 J K ` a v w   + , A B l m   # 6 A T p r 89yz>?ddf"_GnPsn^n`o(. >^>`hH. L^`LhH.  ^ `hH.  ^ `hH. ~L^~`LhH. N^N`hH. ^`hH. L^`LhH.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L._Gp                 `l4|+ %[KNv6f =k" M0 'McZl].p0N !("KY"#Q$Pj$I%Um%2&(g&7'N''Z';)Q4);)>) ?)P)[_)cf)i)Q_+. I.K_.z.S/ '0h]0^0`|2,46jK6aH8d8 9#::l&:=;xM;$ <e <l<>}>h?hAB-B]BQCVD,G@8JEQJ'DKLeLvL ME[NPVP]QnR*TAUVAVkWAX^X4mXC|X~X(Y0Y\Y&uYZZ2.Z;Z\Z[oJ[7\2}\|]T_Q_aIab c\c.d"eXf1gt9g&h k kZkUsk]lD{lDUnoonxqvr2sgstitx7y_z{z{u'{|N|N|R$}N1}R~<~M~+IguCSIA/4ia$ %_ v:!3:PKMkXEQRp'xVpwm 5hJe+56mf);5MX)m&S*'6/kQHX ?d82!xxt1a  Department of Public InstructionAddie, Kathy M. DPI  Oh+'0 ( H T ` lx$Department of Public Instruction Normal.dotmAddie, Kathy M. DPI2Microsoft Office Word@F#@;@+́@+́dZ ՜.+,D՜.+,< hp  State of Wisconsin)   Title 8@ _PID_HLINKSAh*Wmailto:program.intake@usda.govLD4http://www.ascr.usda.gov/complaint_filing_cust.html[Thttp://www.ocio.usda.gov/sites/default/files/docs/2012/Complain_combined_6_8_12.pdfR)"mailto:Tina.Feaster@wisconsin.gov  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklnopqrstuvwxyz{|}~Root Entry FpNF؁@Data HI1Tablem8WordDocument ;SummaryInformation(DocumentSummaryInformation8MsoDataStore)؁<؁GCZPDW5DQ2Q==2)؁<؁Item  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q