/ Older Adults /
About NAPIS Forms

About NAPIS Forms

National Aging Program Information System (NAPIS) forms are required by the federal government and are used by LSS Senior Nutrition to:

  • track how many meals and people are served
  • better understand the needs and situations of the people we serve
  • evaluate the effectiveness of our services

For your convenience you may complete this form in advance and bring it with you when you dine with us. We appreciate you completing this information completely.

Print the Home-Delivered NAPIS Form

Print the Community Dining NAPIS Form

We are committed to protecting your confidential information.
LSS submits this information to governmental agencies to receive funding. No outside agency tracks information about you personally. When we enter the information a member number is generated – this member number is submitted to the federal and state agencies, participants’ names are not included.