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New Sponsor Startup Forms


This site contains information about starting up a Sponsor program. If you would like more information about sponsoring a Child Nutrition Program in Kentucky, please use one of the following contacts:

National School Lunch Program/School Breakfast Program

Special Milk Program

Summer Food Service Program

Child and Adult Day Care - For-Profit

Child and Adult Day Care - Nonprofit

Family Day Care Homes

Adult Day Care

General Questions about participation in Child Nutrition Programs

IMPORTANT: All forms must be returned to the Division of School And  Community Nutrition, 500 Mero Street, 23rd Floor , Frankfort KY 40601. If you have any questions about these forms, please contact SCN at (502) 564-5625. The forms presented here are provided in several different formats.  Please select a format that is compatible with software on your computer or download Adobe Acrobat Reader for free using the link to the left to view documents in .pdf format..

Startup Form Downloads

 

Site/School Request (word) format

Authorization for Electronic Deposit of Vendor Payment: This form is required from new sponsors to allow SCN to deposit payments directly to a vendor's bank account. 

Instructions for Electronic Vendor Deposit Payment.(doc)

Authorization for Electronic Deposit of Vendor Payment in Adobe Acrobat (.pdf) format

Authorization for Electronic Deposit of Vendor Payment in Microsoft Excel (.xls) format

Security Agreement for SCN Online Filing System: This form is required for new sponsors or from any sponsor changing the authorized filing representative who will access any SCN Reporting System. 

Security Agreement for SCN Online Filing System in Adobe Acrobat (.pdf) format

Security Agreement for SCN Online Filing System in Microsoft Word (.doc) format

 

Vendor Modification Form: This form is required to be submitted if any of the information on the original Authorization for Electronic Deposit of Vendor Payment form changes for any reason.

Vendor Modification Form in Adobe Acrobat (.pdf) format

Vendor Modification Form in Microsoft Excel (.xls) format

Direct Electronic Transfer of Funds (public schools only): This form is required by any vendor changing their bank or bank account.

Direct Electronic Transfer of Funds in Adobe Acrobat (.pdf) format

Direct Electronic Transfer of Funds in Microsoft Word (.doc) format

W-9 Request for Taxpayer Identification Number and Certification: This form must be completed by any sponsor who changes their business name or address. This form is required by the Internal Revenue Service. 

W-9 Request for Taxpayer Identification Number and Certification in Adobe Acrobat fill-in (.pdf) format

W-9 Request for Taxpayer Identification Number and Certification in Adobe Acrobat (.pdf) printable format

W-9 Instructions in Adobe Acrobat (.pdf) format

Withdrawal of Participation:  this form must be completed by any sponsor wishing to end their participation in any Child Nutrition Program(s).  SCN will consider a sponsor active until this form has been submitted.

Withdrawal of Participation in Adobe Acrobat (.pdf) format

Withdrawal of Participation in Microsoft Word (.doc) format

 

 

Division of School and Community Nutrition
500 Mero Street, 23rd  Floor CPT
Frankfort, KY 40601

Phone: (502) 564-5625
Fax: (502) 564-5519
E-mail SCN

In accordance with Federal Law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Adjudication, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call toll free (866) 632-9992 (Voice).  Individuals who are hearing impaired or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).   USDA is an equal opportunity provider and employer.


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