H1535 2026

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4.8 out of 5

160 votes

Form H1535-AT is a mandatory document used to record daily attendance and meal counts for participants in at-risk afterschool care programs. It outlines procedures for completing the form, including when and how to document participant names and meals served, as well as retention requirements. The form must be signed by a representative to certify accuracy and eligibility for reimbursement.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Name of Contracting Organization' and 'Name of Facility' at the top of the form.
Input the 'Program (TX) No.' which is a seven-digit number assigned to your organization.
Record the 'Date' for which you are documenting attendance and meal counts.
As participants arrive, fill in their 'Participant's Name' and 'Participant's Age'.
Indicate each meal served by placing an 'X' in the appropriate boxes for Breakfast, Lunch, Snack, and Supper.
At the end of the day, calculate and enter the totals for each meal type in the corresponding columns.
Ensure that a center representative signs in the 'Certification' section and dates it accordingly.
Finally, enter the page number and total pages at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2011	4.8 Satisfied (160 Votes)

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