CSFP DOH/BONS Forms - Updated 5/6/2025

CSFP Operations Manual

Certification Forms

Participation Certification
Notice of Eligibility
Self Declare Income
Seniors Rights and Responsibilities
Waiting List
Waiting List Notification
Notice of Certification Expirations
Notice of Ineligibility, Discontinuance
Services Referral Form

Program Reporting

Monthly Outreach Report
Nutrition Education Log

Complaint Reporting

Complaint Form
Fair Hearing Request
Appeal Form

Operations/Review

Agency Operation Review
Management Evaluation Form

Civil Rights

Civil Rights Instruction
Civil Rights Training Requirments Memo

Inventory

Receiving Tally

CSFP Forms

These forms maybe helpful if you don’t have access to PantrySoft at a distribution.

Senior Contact Information Changes

English
Spanish
Vietnamese

CSFP Proxy Information

English
Spanish
Vietnamese

ROBO Call Information

For Robo Calling Assistance:

Kelly Graphia | Assistant Director of Programs & Outreach
225.385.3572
kelly@feedinglouisiana.org

Robo Call Protocol and Instructions
Robo Call Information Form

These forms are not client-facing forms and maybe helpful in managing and documenting information

Seniors Not On Roster
Collect data on distribution site
Group Box Pick Up Documentation

CSFP Required Trainings

CSFP Civil Rights Training Video
Civil Rights Deck Slides
FOOD RECALL Training Video
Food Recall Deck Slides
CSFP Disaster Training Video
Disaster Deck Slides

PantrySoft Training Videos

PantrySoft Customer Success:

Betty Bloomer
406.549.0766
betty@pantrysoft.com

CSFP - General Overview
Adding New Seniors and Enrollment Process
User Core Roles, Additional Roles, User Settings and Visibility