(NSLP) User Manual - Special Nutrition Programs
Contents
1. Chas Lisi or Monae Regan Bad Age 91901321043 5 ams Ll a So oms dem revemtopsrzaus RENE TOROK WI LERCE AR 7215 px uno s E Cs ee Bsa mm Chin Litro Dor Mont Yar Bened er IoROIS ZUNE 5 20s Ae m ms San Select the site 192013 MIN LITTLE ROCK No Clam FEBER SERINGSFORMERLY 1 o Clam BATESVILLE JOHN MAGALE GROUP No Ciam eME Troe Update the claim and Caleulate and or Save 7 Manual Vorthrop Grumman Special Nutrition Programs NSLP Si EMERGENCY SHELTER LITTLE ROCK Mawes Depelnpecasa ET Museo Chile Baroned HI Meal Counts Bee Reduced Paid Marber of Zeit IEJ EJ Matar of Lunas oo B1 Naber of Snacka Pal munhar of stemthoslmacksclamedea onlybe I D B for ME F mo weekende kadar omer of Mike Number ofM Pachaned BET Tota Mh Coat Average Daly Atendece Brest BTID Lua TE Socks Brest Total pa Tomo Tt Eu Smack Ton EE Nae Tot ao Sol ae E Selected the new inactive claim record View Summary enter the date and Submit Advance lucu so Bale Doe cs Payment Plan Amount GT Previous Chim Amout ETT Amount Paid aa Date Signes Comments Em ami Sis Cline Pant Site Summary 44 NSLP User Man jal Northrop Grumman Special Nutrition Programs F19 METHODIST FAMILY HEALTH P O BOK 56050 LITTLE ROCK AR 72215 TDN 710236906 Cam Dat2. IS DESIGNATED AS THE AUTHORIZED REPRESENTATIVE OF THE Authority is herby given to the above designated representative to enter into an agreement whether by handwritten or lccronic signature on behalf of the above named institution for the operation of the Child and Adult Care Food Program National School Lunch Program andlor Summer Food Service Program on all remaining forms for this application and any other documents or Division reports relating thereto including claims for reimbursement Non Profit Institution By For Profit tastitution CACPP Oniy By By my signature above I understand that Special Nutrition Programs must be advised immediately of any change in authorized personnel and my designation of the above named representative does not relieve me of any liability for the mistakes fraud or any other legal advity performed by the designated representative in the name of or on behalf of the above named institution igure 2 1 3 Example of Certificate of Authori from Print Document directory Select the Print button on the tool bar or select File from the tool bar and then select Print in the drop down list to print a document Select the Back button on the tool bar to return to the directory or close the browser Applying to the Special Nutrition Program On Line The Apply to participate in the Special Nutrition Program On Line button can be selected to initiate a request for a user name an
3. 36 P User Manual Northrop Grammar Tal Nutrition Programs Fig METHODIST FAMILY HEALTH PO BOX 56050 LITTLE ROCK R 12215 po Cla Month ey E Chaves aaa Ts Mis Chin Suman Figure 5 1 1 Claims Verify Eligibility Select the month and enter the year click on Verify Eligibility to verify authorization to claim for this time period F19 METHODIST FAMILY HEALTH POROX 050 LITTLE ROCK AR 72215 TI 710036506 Submit New Claim Choose SELECT all sites for the current user will be displayed User Manual Northrop Grumman on Programs 37 National School Lunch Program Claim Entry F19 METHODIST FAMILY HEALTH PO BOK 26054 LITILEROCE AR 7215 TIN 710036906 in Mots ay marw wo aa Clin ii Mead Se ee em rm kom une 1777 IE IUE i o iea ERER STHNSEORORLT Click on Select next to the site for which you would like to enter a claim Complete the form and click on Calculate and or Save Save will calculate the claim and save Minber otage Open E ManComtr dus dun Dub ender oster of Monter ot mtae Es ecciesie 8 E TOM Faen ei unter eks Meche sf Mite Pontani RET p ving Da Aaen Feta TT Lam sa fT sk Tot ES pem Sankt Ld PM icu Cum m NSL Ser Manual Northrop Grumman Special Nutrition Programs Clam Listing tor Monti Year Kequested Date Month Claim Year Status View mmay Daiya or
4. a contract for meals on the NSLP Application for Participation 21341 form jectal Nutrition Programs 24 W 9 Request for Tax Payer Identification Number and Certification Applicants must complete this form Executive Order Disclosure Form Applicants that were previously a member of the general assembly constitutional officer board or commission member state employee or the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required to be completed by all applicants Direct Deposit Form Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form NSLP Independent LEA Pricing On Line Documents The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 9 2 1a Ih utrition Programs 25 a me ee tee m n n E B B a jal EH E n n E 1 E a B n a a n a H EB EE Certificate of Authority E B B E Detaite ze EE m 1 ED EUER Pepe iia arent iere rein m NIE re 9 2 1
5. bated Pub Law 92472 Th Computer Faut end Abuse Act of 939 Unguhoad cis use sss essen of Us computat steno af he data conte ben ov wns tom Os system conste vida of Tide 18 Cased Sates Cote Seton 1030 and mar jr the india Grand Gr pres pursuant e Tie 2 ised States Code Sectors T213 DA b Tagayar Bevan Precio and 3L By cunimung tous tis system yver Your sraeares of nd conse to ese tes and condoms 9f use LOGOFF Usar Name Password ox omnc Alerts Accessing Alerts Upon successful log on to the Claims system the user is redirected to their home page This page will display the alerts data grid and all businesses associated to the user The alerts will default to the New and Open alerts see Figure 4 1 1 Aene Def view shows New and Open Alerts C View Giosek MiewflentOpen_ Generi Ari res Opn Ds edi Sei G52 tn Process NewAppicaton 051520 051152015 Sei G ta Process Adnin Approval 05 92013 05182013 Sma 6 Poes New Applemton 08182013 09182013 sd sso New New Appicaion 042272013 Gains G66 Peces FacityChage 08082013 08082003 1 Business Search Enter One Search Criteria Below to Find a Business Agreement Number TN Deis Name Ena Famy Fas Payment _Addnenal Payers 35 NSLP User Manual Northrop Grumman Special Nutrition Programs Figure 4 1 1 Alerts Data Grid on Business Home Page To read an alert the user shall select the alert from the data grid The
6. contact SNP Central Office at 1 800 482 5850 ext 28699 or 682 8869 for additional assistance Alerts Accessing Alerts 1 Upon successful log on to the system the user is redirected to their home page This page will display a welcome message alerts data grid and all businesses associated to the user a The alerts will default to the New and Open alerts Alerts Deis view shows New and Open Alerts WiewiewiOpen View Men View Closed ETE New Mass Alert 08122013 123 1 Enter Claims 2 To read an alert a The user is redirected to a Site Alert form which displays all data regarding the alert User Manual Northrop Grumman on Programs 13 Northrop Grumman Knows Child Nutrition IT EN eo pple ge 522013 Seien 5201 The Open Date and View Date auto populates the date and time when the alert is accessed the first time The Close Date auto populates the date and time when the user changes the Status from In Process to Closed a The status is automatically updated on New alerts to display as In Process once accessed and are then considered as Open b Once the alert is closed the alert is removed from the home page alert data grid c Find closed alerts by selecting the View Closed button ism in nie 14 ey Rai vem Fett heaped UDE qenxe on andet 208 GEM qu The user can use the View New Open View New and View Closed but
7. Child Care Licensing system a The system displays any exclusions the facility has had Business Directors and Business Users will not be able to view exclusion data Site Maintenance When the user selects the Site Maintenance button in Business Maintenance the user is redirected to the Site Listing page This page displays all of the sites associated with the business The user can select a site within the data grid or add sites see Figure 5 2 1 on Programs 16 Northrop Grumman Knows Child Nutrition IT mass ACINE HUM ACTIVE Figure 52 1 Site Listing All Active and Inactive Sites will be displayed in the data grid Ifa site has been closed by the Childcare Licensing Unit the user shall contact their SNP Coordinator to change the status to Inactive The user can remove Active or Inactive Sites at any time by selecting the Remove button The assigned SNP Coordinator will receive an alert when the user adds or removes sites they are associated with When the user selects a site or selects the Add New button the user is redirected to the Site Maintenance form on Programs CCL Naber f CCL Sims LieemseType hm So Hart ana Dace jon system is integrated with the Child Care Licensing system CCLAS and DHS Exclusions The facility status is validated and displayed from the Child Care Licensing system The system displays any exclusions the facility has had Business Directors and Business Users
8. Northrop Grumman Special Nutrition Program National School Lunch Program NSLP User Manual Rev 1 0 September 2013 Table of Contents APPLICATIONS Summary Accessing the Special Nutrition Program System Welcome to the Special Nutrition Program Home Page Print Blank Application Forms Applying to the Special Nutrition Program O On Line SNP Initial Screening Questionnaire Existing User Log on Entering User Name and Pa Changing Password Lost Password Alerts Accessing Alerts Business and Site Maintenance Business Maintenance Site Maintenance New and Reapplication Processes Completing On Line Applications Accessing the Online Application Checklist National School Lunch Program NSLP NSLP Independent LEA Non Pricing On Line Documents Paper Documents NSLP Independent LEA Pricing On Line Documents Paper Documents On Line Documents Paper Documents NSLP Business LEA Pricing On Line Documents 31 31 jan Special Nutrition Programs Paper Documents USDA NLSP Site National School Lunch Program NSLP Link Alerts Accessing Alerts Enter New Claims Submit Claims Adjust Claims Rates Poverty Levels Reimbursement Rates Locating an SNP Provider jan Special Nutrition Programs APPLICATIONS Summary The Special Nutrition Program manual is a tool fo
9. TIES IN YOUR AREA Anyone may search the applications system for facilities in their area no log in is required GO TO http ngsnp com WelcomeSNPM aspx Click on Parents Locate a Special Nutrition Provider Near You r 46 P User Manual North p Grammar Tal Nutrition Programs Northrop Grumman Knows Child Nutrition IT Users may search by Zip code County or by a specific address The map will be updated with the location of all facilities meeting the criteria entered For example the map below shows all Summer Food Service Program locations within 10 miles of Zip Code 72223 Manual North Mk rd rein n an Facilities found 19 Facilities serving Breakfast 13 Facilities serving Lunch 13 Facilities serving AM Snack I Facilities serving PM Snack 0 Facilities serving Supper 1 Facilities serving Late Snack 0 This map shows SESP Feeding sites from both the State Department of Human Service and the State Department af Education Once the map is populated clicking on a map point will display the facility s name address phone number Days of Operation Meals Served and a links for mapping directions to and from the facility Users may also create a report listing all facilities by County Just Below Facilities Report by County select the Program and County click on Execute Search A pdf file will be created NOTE running this repo
10. This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds Non Pricing Policy Statement for Free and Reduced Price Meals and or Milk Programs NSL2152 This statement assures that all participants in attendance will be offered the same meals as non participants Pre Award Compliance Review SNP6 29 P User Manual Northrop Gramma jectal Nutrition Programs This form contains information regarding Title VI compliance information Public Release Verification SNP7 This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media The hyperlink Public Release Form SNP 8 redirects the user to a paper document the user would send to the news media NSLP After School Snack Agreement This form contains information regarding USDA requirements to provide reimbursable snacks for the After School Snack Program Officers and Employees NSLP3 Applicants will list board member owner and employee information on this form NSLP SBP and SMP Agreement 2136 This Agreement contains participant rules and responsibilities for taking part in the National School Lunch Program Special Milk Program and School Breakfast Program Disclosure of Lobbying Activities SFLLL Annual Attestation of Compliance with Meal Pattern Requireme
11. a NSLP Independent LEA Pricing Checklist Below is a listing of each on line document NSLP Application for Participation SNP 21341 This form shall be completed for all businesses with only one facility school which identifies information such as Facility School Data Enrollment Data Food Service Data and Local Education Agency Option Funds Received SNP 4 This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds ing Poli 26 y Statement for Free and Reduced Price Meals and or Milk Progi P User Manual Northrop Grammar NSL2137 Tal Nutrition Programs This statement assures that all participants in attendance will be offered the same meals as non participants Pre Award Compliance Review SNP6 This form contains information regarding Title VI compliance information Public Release Verification SNP7 This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media The hyperlink Public Release Form SNP 8 redirects the user to a paper document the user would send to the news media NSLP After School Snack Agreement This form contains information regarding USDA requirements to provide reimbursable snac
12. ation to prosecution under appicable Federal and ce State states ood Ovenide Sus Daie Suimited on 8282012 9 0826 AM pup Sos E Coerdise Approved On 28 2012 105807 AM kea Adsiiasios Approved om 9272012 112829 AM mme NSLP LEA Pong fen rer nae A Guren Figure 9 4 1a NSLP Business LEA Pricing Checklist Below is a listing of each on line document NSLP Application for Participation 2134B This form shall be completed for all businesses with more than one facility school which identifies information such as Facility School Data Enrollment Data Food Service Data and Local Education Agency Option NSLP Site Applications 21348 This list displays all of the sites the business is associated with The user shall select the site through the Site Application Checklist for the SNP21348 This form shall be completed for each site associated with the NSLP Sponsor applying for the National School Lunch Program For each site the user shall complete identifying information including information such as Facility School Data Enrollment Data Food Service Data and Local Education Agency Option Funds Received SNP4 32 NSLP User Manual Northrop Grumman Special Nutrition Programs This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participati
13. cklist see Figures 9 4 1a 1b Camata ize even Lote Amsrscsdis Additonal Infe Tei SSP Reguested NSLP Aspen Pais 21B E Tansee Wusvams E Da ESIP Ser Apes DIS E iar e tne myeemSS a Eram asam E mem PEs Smena E aa E msi eiii me is ear Comines Heis SNP a Eam vencer I Denis Jose niin SNP Askil El Vs Finans Umen ESL A Sect Sari Agam E swa weno T Denis Dace avd Fagknser NSLPA a anse sarm E med SLE SEP md Aes z Tosama wsmomi T Denis Deceare arte Acie a EEE 3012 C Denis e a mm E Denis E 31 NSLP User Manual Northrop Grumman Special Nutrition Programs maaan estais FENG E Eosdsacice Contact OF Appia T Wb Taena D Coin Li Eam Erama Dieet Depost Form Opsional v manam Esa Executive Order Dacoane Farm 109802 Fann vann Ban d 02282013 L NSLP NSLP REGIONAL TRAINING prae sup CHANGES IN IHE NSLP MEAL PATTERN CENT os172012 1 SSLP_ NATIONAL SCHOOL LUNCH PROGRAM TS tod best of my knowledge and boi that ths applicata e and corect al post T imderstend thats oi being given in connection wt the eect of Federal fds andthe Sure Agency personnel mar for cause vr infomation Id derstand thr delete misrepresertation mar subject me sad an principa or response persons che aston senting tis applic
14. d Completed by Entity Approved by SNP and Additional Info Requested columns inform the user of the status of each specific form The Details hyperlink listed at the end of each form s row notifies the user of additional information needed for a specific form The user will select the Details hyperlink to access more information regarding the missing information SNP Staff can send an alert or an email to the business user to notify of additional information needed to process the form P User Manual Northrop Grammar Tal Nutrition Programs load Donner Tghalel cerit of vibe a Berm Zs22000 Feed Sense ami DF Apples a ER ES Tapae ID Caen T Pie Venns Fin gt Fom FOSS ial W220 Zo22009 Dice Dep Fem Optoma E Zera Zomo x Ee Trang Recon EISE cers othe bes or knosedge nd belie the ths application rue and cont inal aspects T understand a tis information is being ven in commen with he recep of Federal funds and he Stale Agency personnel may fr cause verify information 1 fully understand tat Seibert misrepresentation may subject we and any principal er vespoasibi persons ofthe institution subir tes appliention a prosecution under applicable Fader and or State TATE Coordinator rena Sat Das Three hyperlinks Return to Home Page Return to Facility and Return t
15. d password for the Special Nutrition Program on line application After selecting this button the user will be asked a series of questions to the appropriate program Follow these steps to navigate to the SNP Initial Screening Form Access the Special Nutrition Program Website by using the following URL https dhs arkansas gov decece snp WelcomeSNPM aspx The Special Nutrition Program Home Page will appear Select the button labeled Apply to Participate in the Special Nutrition Program On Line at the bottom of the page utrition Programs tt remain SP Sp rari nine dies E ai ap Selecting this button will redirect the user to the SNP Initial Screening Form SNP Initial Screening Questionnaire The SNP Initial Screening Questionnaire contains a series of questions to determine if a provider is eligible to apply usin Program On Lisa Applicaton Des post xxow omatt best per feu using tha inks on oe wb page Plor ss fan etes de your senn Follow these steps to answer the questions on the SNP Initial Screening Questionnaire Select the radio button beside the answer that is the correct answer to the question being posed on Programs When the radio button is selected a dot will appear in the provided space to indicate the answer that has been selected Select the Next button located at the end of the survey If the user is determined eligible to apply for the Special Nutrition Program through
16. e Bueno Claim Month Claim Year bis Number of Sites FT Number Eorotled BO Hiber of Days In Operation Meal Counts Free Reduced Paid Tanber of Breakfast pom pem pe anter of Lunches p jp dp Fiber of Snacke mm pass Es Fiber of Mae b Number of Milks Purchased TT Total Milk Cost oo Average Daly Anendacce Break TT Lunch FT Snacks TNT Breda Total m Lunch Total s Snack Total Bo Mik Total gum Subtotal BAA TT Total for Clam Month 0 00 45 Rates P overty Levels Reimbursement Rates Select the Rates Poverty Levels hyperlink on the main menu to access the Poverty Levels and Reimbursement Rates form Note This hyperlink is only available when the user is not logged on to the system Dav Core Home Rates sement Rates By Program Tier 1 Rates Breakfast mar Mee ened jonos Free S185 miee M Reduced 5125 ey or TL Rates ae ae Lunch 2nd Sapper adis ne so zs paran s019 berg 2s Suppe a Supplement ia Free sons 51300 Homes EM beum ped 201 999 Homes E 1000 Hanes ssec aoa Sealed Popa tes Summer Food Service Pog rester Operating Cost Fee siss Bret siso Redd sss pure sas p sox Sapient s Ima Administrative Costs FrslSelf Prep Fe E Brat sois Reaced Em snc Soppee 033 Pa s Soppene sous Supplement Aministrave Cot Vended Titan Fee sore Deis sn Reie s039 Lane Sopper on Pais soar Sopianae som m sous Locating an SNP Provider SEARCH FOR NLSP FACILI
17. ed s i E uk Entity SNP Requested NSLP Avpicaios for Paricipaion E 2012 miez2or E Deals Funde Received SNPS E Zssao2 Msnozo E Des Fon Pricing Poi Statement fr i Bison menos Er A a sono misionon E Demis pre Avard Comin z 5102012 C Dess 5102012 E Demis M5102012 Denis i2 102012 E Detais Esam Wisio2oii C Denis 7 71031 2012 2110312012 7 Denis Figure 9 1 la NSLP Independent Non Pricing Checklist P User Manual Northrop Grumman Special Nutrition Programs EMail text Unica Documans Uploaded faskasini n asama misi02012 Detals Food Senice Comact F Applenble 5 E E E Dats WS Taser ID Certain visano ws1o2012 Deis Executive Order Disclose Form EQ9804 a 752202 _wisio2012 Tenis Direct Deposit Fonn Optional 1 Dernis V672012 Denis NSLP NSLP REGIONAL TRAINING NSLP 6 CENT PERFORMANCE AWARD NSLP ANNUAL TRAINING T centy to the best of my knowledge and belief that this application is rue and correct in all aspects T understand that this information is being given in connection with the receipt of Federal Sands and the State Agency personnel may for cause ver information fly understand that deliberate z srepresentaton may subject me and any principal or responsible persons of the instturion submitting this application to prosecution under applicable F
18. ederal andlor State statutes Submit Appiation to SNP Coordinator Override Submit Date Submitted om 614 2012 32520 PM Coordinator Aporeval Caordinatar Unaperae Su RO Coordinator Approved On 123 2012 1 0451 PM Administrator Approved om 7 23 2012 10459 PM Application Type __ SLF independent LEA lion Pac Changs Acphcaton Type Business t A Glance Repor Figure 9 1 Ib NSLP Independent Non Pricing Checklist Below is a listing of each on line document NSLP Application for Participation 21341 This form shall be completed for all businesses with only one facility school which identifies information such as Facility School Data Enrollment Data Food Service Data and Local Education Agency Option Funds Received SNP 4 P User Manual Northrop Grumman Special Nutrition Programs 23 This form contains the state local and federal funds received during the previous fiscal year This form also includes the annual audit information required for participating organizations that receive more than 100 000 per year in state and or Federal funds Non Pricing Policy Statement for Free and Reduced Price Meals and or Milk Programs NSL2152 This statement assures that all participants in attendance will be offered the same meals as non participants Pre Award Compliance Review SNP6 This form contains
19. er Log on Users that have access to the SNP On line application will log in and complete their application to participate in the Special Nutrition Programs Entering User Name and Password Once a user name and password have been assigned the user can log in to complete the SNP On line application by using the following steps 1 Select the Existing User Log on hyperlink from the main menu see Figure 3 1 1 2 Enter the User Name and Password assigned to the facility attempting to log in 3 Once the information is entered select the OK button To stop this action select the Cancel button Northrop Grumman Knows Child Nutrition IT E mote ere dn mener ot Damen a Figure 3 1 1 User Log On form 11 NSLP User Manual Northrop Grumman Special Nutrition Programs Changing Password Users can change their password by using the following steps 1 Select the Existing User Log on hyperlink from the Main Menu 2 Select the Change Password button a When the Change Password button is selected additional fields will display labeled New Password and Confirm New Password Note All passwords must contain both uppercase and lowercase alpha characters and at least one numeric character The password must be at least 8 characters long and cannot be one of the last 6 passwords used for the user account 3 Enter the Username and current password in the corresponding fields 4 Enter the desired password in the New Pa
20. im to be sent to SNP Personnel for authorization Once user has chosen SUBMIT no adjustments can be made unless the user is an authorized Home Sponsor Users not authorized to make their own adjustments must submit adjustments in writing to SNP personnel P User Manual Northrop Grumman Special Nutrition Programs 40 F19 METHCDISTFAMILY HEALTH PO BOX 56050 LITTLE ROOK AR 72215 TIN 710236906 Cla Dat EET Oam Mont m Clan Year uis Number of Stes I Meses gos Operation Meal outs mee fremt bad Number of breaks ener ef Lanehee LEE Sumber ef Snacks g E m Dumber of Mike 41 P User Manual North p Grammar Tal Nutrition Programs Macer or ls Puchased B7 Total Mike Cost sami Average Daly Anendance Breakfast TT Lach BT 7 Smak TT Breakfast Total sui Lunch Total som Snack Tot me Mile Toral 3 Subtotal aa Advance Amount Erg Balance Due Erg Payment Amer BBS Promos Chim Amount BIT Amount Paid E Dare Signed Comments Sumi TEA eree Return to Site Claims Adjust Claims Search for a Claim Select the month and enter the year for the claim to be adjusted click Search Select the Site for the claim to be adjusted Click on Adjust next to the claim to be adjusted 42 F19 METHODIST FAMILY HEALTH TOBOX 36050 LITTLE ROCK AR 7215 TW Tuis Chia Me Wu E am Year Gin
21. information regarding Title VI compliance information Public Release Verification SNP7 This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media The hyperlink Public Release Form SNP 8 redirects news media the user to a paper document the user would send to the NSLP After School Agreement This form contains information regarding USDA requirements to provide reimbursable snacks for the After School Snack Program Officers and Employees NSLP3 Applicants will list board member owner and employee information on this form NSLP SBP and SMP Agreement 2136 This Agreement contains participant rules and responsibilities for taking part in the National School Lunch Program Special Milk Program and School Breakfast Program Disclosure of Lobbying Activities SFLLL Annual Attestation of Compliance with Meal Pattern Requirements Paper Documents Below is a listing of each paper document listed on the NSLP SBP and SMP Independent LEA Non Pricing Checklist Certificate of Authority Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement on behalf of the institution for the operation of the SNP program for that facility Food Service Contract Applicants will be required to complete this form if they answered that they have
22. ink opens the USDA National School Lunch Program form and displays a general overview of the program at the national level Program Info and Hyperlinks National School Lunch Program NSLP Link Select the National School Lunch Program NSLP hyperlink on the Main Page This hyperlink directs the user to an overview of the NSLP program CLAIMS Accessing the SNP Claims System Entering User Name and Password The user can log in to submit the SNP Claim by using the following steps 1 Go directly to https dhs xxxx gov DCCECE SNPClaims or click on Enter Claims from the SNP Main pag 2 Enterthe User Name and Password assigned to the facility attempting to log in 3 Once the information is entered select the OK button To stop this action select the Cancel button jectal Nutrition Programs 34 Please Enter User Name and Password to Access the System Theis govemment computer system and i he proper eta anis Department ef man Seizes Itis for mathoned use oae Uses shoes ar umatake haven sep re pension af pene Any rare ef ti ye nd ales om sten ny beter Soterd coded copied anc r pet end cited we asini Dormer fiium Sri hd oe clone posene tl 2s noe ol cf other agencies both domes and foreign using ths system the user consents to sch interception monitoring recording spending neper and selon arms deren of ation sie or panner fanen Gris prea mune or improper ue hs system may sui dmi lan ein nd din pene Unitas sees
23. is Inactive Site Listing for Current Claim Number of Days In Operation ff Get Current Daily Data m Fem Nanber of Breakfast J Ninbe of Lunches Naber of Snacks Naber of Suppers peu Average Daily Attendance mu Operation Toral Adnin A Total Adnin B Total Subtotal CALCULATE or SAVE Choosing SAVE will calculate and save in one step Choosing CALCULATE does not Save This message will display to verify that the data has been saved Site Claim Inserted Please remember to submit your claim from the Claim Summary Page ok NSLP User Manual Northrop Grumman Special Nutrition Programs Submit Claims After saving all claims you want to enter you must submit the claims to SNP View Claim Summary Click on View Claim Summary Select the month and enter the year for the claim you would like to vie F19 METHODIST FAMILY HEALTH POBOX 36030 LITTLE OCR AR 72215 In 710236906 Coin Lim oc Mester Requested st SuhmiDare Month Claim Year Ss 5 mg p Sissi S Choose SELECT next to the claim to be submitted and choose View Claim Summary Uf the claim has already been submitted the form is Read Only with the exception of buttons at the bottom of the form that will enable users to Return to Site Claims Print Site Summary Print Claim Summary or Print Disbursement Review the Claim Summary Data enter the date optional comments and choose SUBMIT for the cla
24. ks for the After School Snack Program Officers and Emplo Applicants will list board member owner and employee information on this form NSLP SBP and SMP Agreement 2136 This Agreement contains participant rules and responsibilities for taking part in the National School Lunch Program Special Milk Program and School Breakfast Program Disclosure of Lobbying Activities SFLLL Paper Documents Below is a listing of each paper document listed on the NSLP SBP and SMP Independent LEA Pricing Checklist Certificate of Authority Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement of behalf of the named institution for the operation of the SNP program for that facility Food Service Contract Applicants will be required to complete this form if they answered that they have a contract for meals on the NSLP Application for Participation 21341 form W 9 Request for Tax P Applicants must complete th r Identification Number and Certification form Direct Deposit Form Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form jectal Nutrition Programs 27 Executive Order Disclosure Form EO9804 Applicants that were previously a member of the general assembly constitutional
25. ll check the Completed by Entity checkbox With the Paper Documents the user will be required to manually select the Completed by Entity checkbox when they send in their paper documents to SNP Central Office The user shall complete the Online Documents and select the Submit button to electronically submit the form to the user s checklist In some instances the form may be information that must be read The submit button for that form may read as I Have Read and Understand This Form or similar wording Some forms may span additional pages due to their length P User Manual Northrop jectal Nutrition Programs 21 Each form will give the user the opportunity to print the document for their records Some forms will allow the user to copy data from one year to the next The Paper Documents section has links to allow the user to print PDF documents to be completed and returned to SNP Central Office However depending on the program some information may not require a form NSLP Independent LEA Non Pricing On Line Documents The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 9 1 1a Ih RenmioHomePage Remi Facility Retu to Checks G51 DANAS HOUSE INC Cons Period 712012 5502013 Upcas Completedhy Approvedhy Additional Info Item Description Start
26. ng organizations that receive more than 100 000 per year in state and or Federal funds NLSP Policy Statement for Free and Reduced Price Meals and or Milk Programs NSLP2137 This statement assures that all participants in attendance will be offered the same meals as non participants Pre Award Compliance Review SNP6 This form contains information regarding Title VI compliance information Public Release Verification SNP7 This form must be completed by participating facilities to satisfy USDA Regulations that all SNP participants submit an annual public release to the news media The hyperlink Public Release Form SNP 8 redirects news media the user to a paper document the user would send to the NSLP After School Snack Agreement This form contains information regarding USDA requirements to provide reimbursable snacks for the After School Snack Program Officers and Employees NSLP3 Applicants will list board member owner and employee information on this form NSLP SBP and SMP Agreement 2136 This Agreement contains participant rules and responsibilities for taking part in the National School Lunch Program Special Milk Program and School Breakfast Program Disclosure of Lobbying Activities SFLLL Annual Attestation of Compliance with Meal Pattern Requirements Paper Documents Below is a listing of each paper document listed on the NSLP SBP and SMP Business LEA Pricing Checklist Certificate of Au
27. nts Paper Documents Below is a listing of each paper document listed on the NSLP SBP and SMP Business LEA Non Pricing Checklist Certificate of Authority Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement of behalf of the named institution for the operation of the SNP program for that facility 2 Food Service Contract Applicants will be required to complete this form if they answered that they have a contract for meals on the NSLP Application for Participation 2134S form W 9 Request for Tax Payer Identification Number and Certification Applicants must complete this form Executive Order Disclosure Form EO9804 Applicants that were previously a member of the general assembly constitutional officer board or commission member state employee of the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required by all applicants Direct Deposit Form P User Manual Northrop Grumman Special Nutrition Programs 30 Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form NSLP Business LEA Pricing On Line Documents The user shall select their application from the Application Main form This will redirect the user to their che
28. o Checklist are found on all online forms and checklists to offer the user shortcuts for easier navigation throughout the system The system will display a date on the checklist to verify when the form was completed approved or the date additional information was requested By using the checkboxes and the dates the user can monitor what has been processed on their application Once all mandatory forms have been completed the user will submit the application An alert is sent to the assigned coordinator to notify that the application is ready for processing The system will display the date and time that the user submitted the form National School Lunch Program NSLP The National School Lunch Program is a federally assisted meal program operating in more than 99 800 public non profit private schools and residential child care institutions Depending upon the type of business they are categorized as pricing or non pricing organizations If the organization has multiple sites they are considered business organizations whereas individual schools and childcare institutions are deemed independents Each section will give a synopsis of the forms for each specific checklist However all of the forms will work the same There are two types of forms Online Documents and Paper Documents With the Online Documents when the user starts a form the system will automatically check the Started check box When the form is submitted the system wi
29. officer board or commission member state employee or the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required by all applicants NSLP Business LEA Non Pricing On Line Documents The user shall select their application from the Application Main form This will redirect the user to their checklist see Figures 9 3 la Ih re paa ean m Comal esed tem Desripion mE Entity SNE waumu msme vsus vase wana us z Zsvanz asian Ar Commer Rei SNP E sem weno roa fr T E T EP v vsum wein 7 nad 7 sinne T nass 7 mane Dar Fates ri A vsu E bas me Mesna Caen ll ae r 1 seems Baier 4 7 Upload Documarts Uploaded Cate det r mson siono Idas zerren s a a EE Eo Tamna D Ceia E ssa asoma E Daas Feen Oder Dio Toma EOS Oo peser wee baat Disa Depas Fom pie g Ej B EF 28 P User Man al Northrop Grumman Special Nutrition Programs Kne 042572013 NSLP NSLP REGIONAL TRAINING 0409203 NSLP NSLP REGIONAL TRAINING ov NSLP RCC Trento bes ofr knoviedee and beet hat his pene sve and correct in al aspects Twas or fus aca irs gone moen wt Be een of Besa rr ml the Stale Agen ervey r ce vikle understand
30. or Diginal Goverment Parse and Project Arkansas Deuarmento Henan Sees Arkansas Special Sion Programs Wels og Gan tas dese and ima aed ig SNP rs mie ety ered tiple at em okie Deut Evan Notre Gm wae we oc its ds draped a ep sp Oude t deep im Aden SIT pein er eger gt osten fr Okan bes Nr Granma ml be SNP varen qa ad era co cose rine dene moder knee am proren Cid Sar pics me tet or poet Ak SNP se met Figure 2 1 1 Welcome to Special Nutrition Program Main Page Print Blank Application Forms Although it is recommended that providers submit their paperwork online some users prefer to submit the hard copy form to their coordinator To print blank application forms and submit a hard copy of their information to the SNP office select the Print Blank Application Forms button The user will be directed to the Print Documents form A directory of all programs paper applications and forms will be found in this section see Figure 2 1 2 LP User Manual Northrop Grumman jectal Nutrition Programs Northrop Grumman Knows Child Nutrition IT E Fe ara Rense Pe UTER TE Figure 2 1 2 Print Forms page on Programs To access a specific form or application select the form name This will redirect the user to an Acrobat Reader PDF form to allow the user to print the form see Figure 2 1 3 SPECIAL NUTRITION PROGRAMS CERTIFICATE OF AUTHORITY otiia This is to certify hat
31. r businesses associated with the Special Nutrition Program to use in conjunction with the SNP Web online software application This manual is a reference guide for users that will assist in navigating the web application as they complete their day to day tasks The SNP Online Application has been developed in ASP Net using a SQL database The Minimum System Requirements for the SNP Web Application are Windows version to XP Internet Explorer 6 128 bit encryption enabled Session Cookies will be used to run the program if Cookies are disabled the user will be notified that cookies are required to utilize the program Accessing the Special Nutrition Program System Welcome to the Special Nutrition Program Home Page The Special Nutrition Program Home Page contains general information about the Special Nutrition Program Providers can review this page to determine who may be eligible to participate in the SNP program and find the answers to Frequently Asked Questions Providers can also select the Apply to Participate in the Special Nutrition Program On line button to initiate a request for a user name and password or select the Print Blank Application Forms button to access the print forms directory from this page see Figure 2 1 1 Northrop Grumman Knows Child Nutrition IT Welcome to the Northrop Grumman Special Nutrition Program Demo Site E S a ni xis Int grator Northrup Grumman Corpsrarion Come f
32. rmation in the appropriately labeled field Note The Same As buttons located in the address portion of the form can be selected if the Mailing Physical and or Record Keeping addresses are the same 2 Select the radio button beside the answer that is the correct answer to the question being posed a When the radio button is selected a dot will appear in the provided space to indicate the answer that has been selected 3 Once all requested information has been entered and all questions have been answered select the Submit Request for Access to the SNP System button 4 A message will display indicating whether or not they meet the minimum requirements to request a user name and password The page at nasnp com says Thankyou for your request Submission of the request does not guarantee approval of your application SNP Staff will review the information to determine if an on line application is appropriate 1f no additional information is needed 2 User ID and Password will be sent to your email address within 7 business days If the coordinator needs additional information you will be contacted OK a If the user entered data that meets the minimum requirements the submitted request will be reviewed by the SNP staff and if approved an e mail with log in instructions will be sent to the e mail address provided when completing the Initial Screening form jectal Nutrition Programs 10 Existing Us
33. rt does not update the map State Department of Human Services Division of Child Ca and Early Childhood Education Special Nutrition Program Summer Food Service Feeding Sites by County County JOHNSON Youth Center 123 Main Jackson MS 74444 555 555 5554 Youth Ministries 105 N Oak Jackson MS 74444 555 555 5555 Turning Point 205 E Michigan Rd Jackson MS 7444 555 555 5556 49
34. rted Completed by Entity Approved by SNP and Additional Info Requested columns inform the user of the status of each specific form Tal Nutrition Programs P User Manual Northrop Grumman 19 Pr BELDERSONSCHOOLFORTHEDENF The Details hyperlink listed at the end of each form s row notifies the user of additional information needed for a specific form The user will select the Details hyperlink to access more information regarding the missing information SNP Staff can send an alert or an email to the business user to notify of additional information needed to process the form Carme Ped Jen MEET Comic Sepia be em Descriptio Started Spolestion fr IE cin Pale Grener fre dass ones Mane ae or Me Programe NSLS Lal Pre Anart Conlin Rerin SN ote Rakes venn SET mm SERE Seon Stack grenset picos nd Employees NSLP TETE stor of Lobbying Actes BELLE miami a a Im ajajajaja EMail text 8 39 Figure 7 1 1 Example of an incomplete Application Checklist Paper Documents 20 The hyperlinks found in the Item Description column open pdf files of the specific forms to be printed completed and either uploaded to the system or mailed to the SNP office The checkboxes in the Uploade
35. ssword field 5 Re enter the newly constructed password in the Confirm New Password field and select the OK button To stop this action select the Cancel button 6 Once the password is updated the user is required to sign in using the new password before they can access the online application system The newly entered password will be saved and can be used for future I Note Passwords are required to be changed every 90 days The user shall receive a message when attempting to access the program if the password is due to expire within 14 days or has expired since last login Lost Password I a user forgets their current password that will allow them to access the SNP on line application the following steps can assist them in resetting their password 1 Select the Existing User Log on hyperlink from the Main Menu 2 Enter the Username in the corresponding field 3 Select the Lost Password button a A security question and answer field will appear below the Lost Password button 4 Enter the correct Security Answer for the question listed and select the Submit button To stop this action select the Cancel button 12 P User Manual Northrop Grumman Special Nutrition Programs 5 A message will display and an email will be sent to the user notifying them that the password has been reset to the last four digits of their Social Security Number a If the user cannot answer their Security Question the user must
36. the on line application the user will be directed to another set of questions that are specific to the program for which the user is applying 3 ivacy Statement ooi Ligeeme Preis 22 3 a License Number l Cr Maling Acres T me County d i Same as manng Aacres Same as Fnyscal adore p We County Manual Northrop Grumman Special Nutrition Programs Do you ple ago sma ina bss Deyen ples to pupae inthe arora a If the user is determined not eligible to apply for the Special Nutrition Program through the on line application the user will receive a message stating the following You need more information to proceed Please contact SNP Central Office for information for the SNP Program You may contact 1 800 xxx xxxx or 555 xxx xxxx for assistance 2 Additional questions will be posed to the user to evaluate the appropriate program on Programs Note Day Care Homes and Home Sponsors cannot apply for a user name online All other programs can request a user name and password online unless they are already an SNP recipient If the user is already an SNP recipient they shall contact SNP Central Office for assistance in obtaining their user name and password Follow these steps to answer the questions on the program s Initial Screening form 1 Enter the requested info
37. thority Applicants complete the Certificate of Authority to certify that the listed applicant representative has authorization to enter into an agreement of behalf of the named institution for the operation of the SNP program for that facility NSLP Food Service Contract Applicants will be required to complete this form if they answered that they have a contract for meals on the NSLP Application for Participation 21348 form P User Manual Northrop Gramma jecial Nutrition Programs W 9 Request for Tax Payer Identification Number and Certification Applicants must complete this form Direct Deposit Form Applicants that would like to enroll to receive their reimbursements by direct deposit or participants that need to change their direct deposit information will complete the Direct Deposit form Executive Order Disclosure Form EQ9804 Applicants that were previously a member of the general assembly constitutional officer board or commission member state employee or the spouse or immediate family member of any of the previously listed persons must complete this disclosure This form is required by all applicants USDA NLSP Site This hyperlink found on the main menu located at the left side of the form directs the users to the National School Lunch Program section of the USDA website This hyperlink is only available when the user is not logged on to the system Select the USDA NSLP Site hyperlink The hyperl
38. thst deliberate mireresentabon may siete and ay pale responsible persons af testo atin hs open to proseon ander applicable Federal and or State ases Sub Apples ta SNP Coordutor Ovride Subait Date Submited on 1052012 32514 PM Eger Su pend Arended MEME Coordinator Approved Ox 7302012 111043 AM Adsiiskaer Approved on 8152012 14620 BM E UCHN NSLP LEA Non Pici ange Ava Tes Business Gianca Rear Figure 93 12 NSLP Business LEA Non Pricing Checklist Below is a listing of each on line document NSLP Application for Participation 2134B a This form shall be completed for all businesses with more than one facility school which identifies information such as Facility School Data Enrollment Data Food Service Data and Local Education Agency Option NSLP Site Application NSLP2134S This list displays all of the sites the business is associated with The user shall select the site through the Site Application Checklist for the SNP21348 This form shall be completed for each site associated with the NSLP Sponsor applying for the National School Lunch Program For each site the user shall complete identifying information including information such as Facility School Data Enrollment Data Food Service Data and Local Education Agency Option Funds Received SNP4 This form contains the state local and federal funds received during the previous fiscal year
39. tons to filter their alerts on Programs Bu ess and Site Maintenance Business Maintenance From the user s home page the user can select their business to access the Business Maintenance form Northrop Grumman Knows Child Nutri ELDER sot Business Maintenance stores the contact information for a Business or Sponsor The form displays the facility information such as addresses contact information and allows the user access to applications and any sites associated to the business see Figure 5 1 1 SNP Business Maintenance 2 up lass maa 1 ee mm SEP User Manual Northrop Grumman Special Nutrition Programs 1 FAX Namie FENG arero res Depen ren V t npn ExT Los Falter En Soe tow Agata p Briss DOCS lt a sei El Ce Figure 5 1 1 Business Maintenance The user can select the Applications button to access the Application Main form The Site Maintenance button will redirect the user to the Site Maintenance form The View Screening function is not available for NLSP If the Business is NSLP or NLSP Entity Types when the View Screening button is selected the user will receive the message This function is not available for NLSP or unassigned facilities The online application system is integrated with the Child Care Licensing CCLAS and DHS Exclusions systems The facility status is validated and displayed from the
40. user is redirected to a Site Alert form which displays all data regarding the alert nos Fam er your appiicacion anenduents for participation The Open Date and View Date auto populates the date and time when the alert is accessed the first time The Close Date auto populates the date and time when the user changes the Status from In Process to Closed The status is automatically updated on New alerts to display as In Process once accessed and are then considered as Open Once the alert is closed the alert is removed from the home page alert data grid Find closed alerts by selecting the View Closed button The user can use the View New Open View New and View Closed buttons to filter their alerts Enter and Submit Claims Enter New Claims From the Claims home page select the business for which user would like to submit a claim and click on the Enter Claims button Select Pr Sama A576 710236905 UNITED METHODIST EARLY CHILDRENS HOME 5016610720 INACTIVE Yr 019 710236906 METHODIST FAMILY HEALTH 15016610720 ACTIVE Se G 64 710234906 BONO METHODIST FAMILY HEALTH 2700326880 ACTIVE Bier S 72 71029806 UNITED METHODIST DAY TREATMENT SCHOOL 5016610720 ACTIVE 1 eoe The next screen displays the facility s name address TIN and allows the user to access existing Claims adjust claims that have not been submitted and add new Claims see Figure 5 1 1
41. will not be able 10 view exclusion data Manual Northrop Grumman Special Nutrition Programs 18 New and Reapplication Processes To initiate a new or reapplication select the business from the home page to advance to the Business Maintenance form On the Business Maintenance form select the Applications button to advance to the Application Main form see Figure ge SIRO pesi Padepiimincs Lc Lr Figure 6 1 1 Application Main For New or Reapplications enter the contract year in the contract year field to initiate the process When the user exits the field the system will auto populate the Contract Start and Contract End fields The user shall select the Add New Renewal Application button to add the application to the application s data grid Select an application from the applications data grid to access the application checklist Completing On Line Applications Accessing the Online Application Checklist Select an application in the application data grid on the Application Main form to access the application checklist The type of Business determines the correct application checklist the user will use see Figure 7 1 1 The application checklist is made up 2 sections Online Documents and Paper Documents Each section includes hyperlinks checkboxes and buttons Online Documents The hyperlinks found in the Item Description column redirect the user to the specific forms to be completed The checkboxes in the Sta
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