Claim Forms Reports for Sponsors

The following Claim Forms are available. This list is not comprehensive. To access these reports, click the Reports menu, select Claim Forms, and then select the appropriate form.

  • Blank Claim Information Form (CIF) - Print this form and give it to new providers who don't have any enrolled children.  

  • Claim Information Form (CIF) - This report includes all children who were enrolled for at least one day in the effective claim month on the report. 
  • Manual Claim Cover Sheet - This is a single-page version of the Manual Claim Processing Worksheet (see below).

  • Daily Meal Worksheet - This is a copy of the worksheet providers print in KidKare.

  • Full Month Attendance Worksheet - This is a sample worksheet you could use for providers who do not use KidKare or scannable forms. Once providers complete this worksheet, use the Record Full Month Attendance by Meal function to enter this attendance data.

  • Manual Claim Processing Worksheet - The Manual Claim Processing Worksheet provides your claim reviewers and menu readers with everything they need to manually process a provider's claim. 

  • Weekly Attendance Worksheet - This is the same report providers print in KidKare. It allows providers to take attendance on paper.

 


Claim Information Form (CIF)


When you print Claim Information Forms (CIFs) or any other report containing a list of a provider's children, you are prompted for an effective claim month for the report. The effective claim month is used to determine which children are included in the report. The system examines enrollment dates and, if present, the withdrawal dates for each child for the given provider. It then includes all children who were enrolled for at least one day in the effective claim month on the report. So, when you print these reports, you may see children whose status is currently Withdrawn, because they were still active at least at some point in time during the month you selected when generating the report.

Print the CIF From


  1. From the menu to the left, click Reports, select Claim Forms and then Claim Information Form (CIF)

  2. Click Selected Provider or Multiple Providers, the Claim Month, and in the last drop down select Child Groups to exclude from this report, if any. To include all child groups, select None

  3. Based on if you choose Select Provider or Multiple Providers:

    • If you choose the Selected Provider option, click the Provider drop-down menu and select the provider.  Click Export.

    • If you select Multiple Providers, the Provider Filter section appears and allows you to narrow down your provide search by setting specific criteria in the filters.  Click Search once you have applied any desired filters. A list of providers that match your search criteria appears.  Select the providers to include in this report by checking the box next to their name. Click Continue.

    Select how you want to organize this report (by provider name, id, etc.) and click Export.