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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.

Number	Effective Date	Title
74-176	1/2008	Vendor Direct Deposit Authorization
AP-152	1/2008	Texas Application for Payee Identification Number
FND-104	2/2008	Hazard Analysis Critical Control Point (HACCP) Checklist
FND-105	2/2008	Local Wellness Policy Checklist
H1512	1/2008	Application for Receipt of USDA-Donated Commodities
H1532	7/2008	Claim for Reimbursement
H1548	9/2007	Application/Management Plan Change
H1569	12/2007	Single Audit Identification Data
H1609	12/2007	Individual Site Information
H1610	12/2007	Application for Participation and Policy Statement
H1612	12/2007	Seamless Summer Food Service Program Option Site Information
H1614	3/2008	Daily Participation Worksheet (Number of Meals Served)
H1614-A	3/2008	Daily Participation Worksheet (Afterschool Care Snack Program)
H1615	3/2008	Food Service Operating Costs Worksheet
H1616	3/2008	Depreciation Schedule Non-Expendable Equipment Worksheet
H1617	3/2008	Physical Inventory Worksheet
H1618	4/2007	Summary of Food Costs Worksheet
H1623	12/2007	Notification Letter to Parents
H1625-A	6/2008	Income Eligibility Guidelines For Determining Free and Reduced-Price Benefits July 1, 2008 - June 30, 2009
H1646	5/1999	Menu Production Record-Food-Based Menu Production
H1647	11/1998	Meal Production Record-NU MENUS Menu Production
H1648	3/2008	School/SFA Edit Check Worksheet
H1670	3/2008	Enrollment, Application and Eligibility Information
H1671	3/2008	Results of Verification by Application Type
H1672	3/2008	Summary of Verification Results
H1674	12/2007	Food Safety Inspection Reporting
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
H4508	7/2008	Certificate of Authority
H4524	School Year 2008-2009	2008-09 Multi Child Application
H4524-A	3/2006	We Must Check your Application
H4524-B	3/2006	We Have Checked your Application
H4524-S	School Year 2008-2009	2008-09 Multi Child Application (Spanish)
H4526	7/2008	Pre-Award Civil Rights Compliance Review