Food & Nutrition Division Skip to Content
  More info? Call (888)TEX-KIDS or e-mail squaremeals@tda.state.tx.us.
 

Forms

Forms Table of Contents

Note: Most of the following forms are available in Adobe Acrobat PDF format. They are provided as a convenience to users; however, they cannot be completed online or submitted electronically to the agency. To view and print the forms, you must download the free Adobe Acrobat reader. You may also download the free Acrobat Accessibility Reader for PDFs. A few forms are offered in Microsoft Word. If you have questions or comments regarding forms, instructions, or their related handbooks, please contact us at squaremeals@tda.state.tx.us.

NumberEffective DateTitle
74-176 1/2008 Vendor Direct Deposit Authorization
AP-152 1/2008 Texas Application for Payee Identification Number
H1520-D 7/2007 Monitoring Staff Information
H1530-A 9/2007 Daily Meal Production Record for Infants (Child Care Centers, Emergency Shelters, and Day Care Homes)
H1531 6/2008 Child Nutrition Program Application (Child Care Food Program and Summer Food Service Program)
H1531-H 4/2006 Child Nutrition Program Application - Nonresident Children in Tier II Homes
H1531-P 9/2007 Day Care Home Provider Application for Tier I Eligibility
H1531-S 6/2008 Child Nutrition Program Application (Child Care Food Program and Summer Food Service Program) - Spanish
H1532 7/2008 Claim for Reimbursement
H1534 9/2007 Documentation of Claimed Cost-Meals Served (Day Care Home Program)
H1536-A 7/2008 Application and Management Plan for New Day Care Home Sponsors
H1536-D 7/2007 Renewal Application and Management Plan for Day Care Home Sponsors
H1536-E 7/2008 Annual Update for Day Care Home Sponsors
H1537 9/2007 Application Between Sponsoring Organization and Day Care Home
H1539 9/2007 Day Care Home Meal Service Record
H1542 9/2007 Agreement Between Sponsor and Day Care Home Provider
H1548 9/2007 Application/Management Plan Change
H1556 9/2007 Parent Letter - Nonresident Children in Tier II Homes
H1568 9/2007 Record of Recycled Food
H1569 12/2007 Single Audit Identification Data
H1603 9/2007 Changes in Day Care Home Participation
H1607 1/2007 Monitor Review
H1607-P 9/2007 Day Care Home Provider Preapproval Visit
H1625-A 6/2008 Income Eligibility Guidelines For Determining Free and Reduced-Price Benefits July 1, 2008 - June 30, 2009
H1626 9/2007 Parent Letter - Nonpricing Programs
H1658 9/2007 Documentation of Provider's Tier Determination
H1659 9/2007 Notice to Providers of Tier Determination (Child and Adult Care Food Program--Day Care Homes)
H1660 4/1999 List of Eligible Federal/State Funded Assistance Programs (Tier II Day Care Homes)
H2048 1/2008 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts
H2049 1/2008 Certification Regarding Federal Lobbying
H4504 6/2008 Income Eligibility Guidelines For Determining Free and Reduced Price Benefits July 1, 2008 - June 30, 2009
H4505 7/2007 Free and Reduced-Price Policy Statement for the Child and Adult Food Program (Nonpricing Only)
H4508 7/2008 Certificate of Authority
H4526 7/2008 Pre-Award Civil Rights Compliance Review