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State of Arizona
Department of Education
CACFP MONTHLY EXPENSE WORKSHEET
Month/Year_________
Itemized Costs
Administrative Costs – Overseeing Compliance
(planning, organizing and managing CACFP)
Operational Costs – Direct Meal Service
(preparation and service of meals to participants)
Salaries
Owner, Director, Monitor
Teachers, Cook
Benefits
Owner, Director, Monitor
Teachers, Cook
ADMINISTRATIVE SALARIES/BENEFITS
L
ABOR EXPENSES
A
B
C
D
E
F
POSITION, EMPLOYEE NAME
TOTAL
ADMINISTRATIVE
HOURS PER MONTH
(FROM TIME
DISTRIBUTION
REPORT)*
SALARY
PER HOUR
GROSS
PAY
(B X C)
P
ERCENT OF
TIME SPENT ON
CACFP TASKS
THIS MONTH
TOTAL
MONTHLY
HOURS
CACFP
PORTION OF
BENEFITS
TOTAL
BENEFITS
PAID TO
EMPLOYEE
TOTAL:
SALARIES BENEFITS
OPERATIONAL SALARIES/BENEFITS
L
ABOR EXPENSES
A B C D E F
POSITION, EMPLOYEE NAME
TOTAL
OPERATIONAL
HOURS PER
MONTH
(FROM TIME
DISTRIBUTION
REPORT)*
SALARY
PER HOUR
GROSS
PAY
(B X C)
P
ERCENT OF
TIME SPENT ON
CACFP TASKS
THIS MONTH
TOTAL
MONTHLY
HOURS
CACFP
PORTION OF
BENEFITS
TOTAL
BENEFITS
PAID TO
EMPLOYEE
TOTAL:
SALARIES BENEFITS
* Attach Time Distribution Reports † Benefits include: Paid Vacation, Military Leave, Sick Leave, Health & Retirements Benefits, Disability, and Life Insurance
E
B ÷
Benefits
†
E
B ÷
Benefits
†