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Sample Administrative Forms

General | Nutrition Advisory Council Bylaws/Roles | Sample Grievance Policies |
Welcome Packet Information


Frozen Meal Policy Template Sample
Kewaunee County HDM Program Guidelines
Notice of HDM Termination Letter Template

Nutrition Advisory Council Bylaws and Roles

Marquette County Nutrition Program Advisory Council Bylaws
Milwaukee County Nutrition Advisory Council: How to Become an Effective Member
Nutritional Advisory Council Bylaws Template

Sample Grievance Policies

ADRC of Barron, Rusk, and Washburn Counties Grievance Procedure Form
Grievance Complaint Procedure Template
Outagamie County Grievance Procedure
Polk County Grievance/Complaint Policies and Procedures

Welcome Packet Information

We strongly encourage you to provide welcome packets to your senior dining and home-delivered participants. This is a great way to get useful information in their hands that they can reference throughout the year. We strongly suggest you include a letter welcoming them to the program that provides your local contact information—including your Website and email address. Also include your resource directory, a copy of the menu, your grievance procedure, caregiver support materials, and your current newsletter. (Updated March 2014.)

In addition we strongly suggest the following be considered for inclusion:
Senior Dining Promises Poster - Word | PDF
Meal on Wheels Promises Poster - Word | PDF
Senior Dining Expectations
Home-Delivered Meal Expectations
Emergency Supply Checklist
Emergency Preparedness Brochure for Older Americans
Fire Prevention Tips for Older Americans
Home Safety Checklist
Home Safety and Falls Prevention Checklist
Food Safety to Go
Caregiver Call-In Information

Other things that would be good to include as you feel appropriate:
Emergency Preparedness for People With Disabilities
Emergency Preparedness for Pet Owners
Storage Times for Refrigerated and Frozen Foods
Emergency Personal Preparedness Summary for Various Emergencies
Whey Recipe Handout for Protein Ideas
High Protein, High Calorie Recipe Booklet
Powdered Milk Recipes
Powdered Milk Instructions
Recipes for Disaster Booklet
GoBag List
Weather Radio Information
Additional Fire Safety Information