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ARIZONA DEPARTMENT OF EDUCATION CHILD AND ADULT CARE FOOD PROGRAM CENTER SITE CLAIM Claims must be received by the 10th of the month following the claim month. Claim(s) are to be submitted electronically at the CNP Web at https://www.ade.az.gov/commonlogon. Sponsor must retain a copy of claim for permanent record. CTD # Sponsor CTDS # Site Name Address Phone ( ) Claim Month/Year: Type of Submission: Original Revision ____________________ Date of Revision: _____________ Program Participation Maximum Days Served Average Daily Participation Participants Approved for Free Meals Participants Approved for Reduced-Price Meals Participants Approved for Paid Meals Participants Enrolled Number of Enrolled Participants Receiving Title XIX or XX Benefits Reimbursable Meals Served Breakfast Morning Snack Lunch Afternoon Snack Supper Evening Snack At-Risk After School Snack I:\Health_and_Nutrition\CACFP\Centers\General Documents\2008\CNP Web & Claiming Info\Site Claim Worksheet.doc