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PI-1476 Page 0September 17th, 2020
Wisconsin Department of Public Instruction APPLICATION-AGREEMENT FOR PROGRAM START-UP OR EXPANSION PAYMENTS FAMILY DAY CARE HOME SPONSORING ORGANIZATIONS CHILD AND ADULT CARE FOOD PROGRAM PL 101-147 PI-1476 (Rev. 04-18) INSTRUCTIONS: Complete form. An approved copy will be returned for your files. Submit with appropriate attachments to: WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION ATTN: ELLEN SULLIVAN COMMUNITY NUTRITION PROGRAMS PO BOX 7841 MADISON, WI 53707-7841
