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Form Name	Form Number	Form Download	Form Download (Alternative Format)	Instructions Download	Program Name
F&N Complaint Form - English					All Program Forms
F&N Complaint Form - Spanish					All Program Forms
Participant Notification of SFSP Meals - Closed Enrolled Site - NON-AREA ELIGIBLE					All Program Forms
2023-2024 Standard (Multi-Child) Application for Free Milk - SPANISH					All Program Forms
Media Release for Free Milk Sample - SPANISH					All Program Forms
Verification Letter Sample Templates Suite - SPANISH					All Program Forms
Milk Flexibility for Emergency Conditions Notification					All Program Forms
Good Cause Transfer Request Form					All Program Forms
Micro-Purchase Log					All Program Forms
Unanticipated School Closure Notification Forms					All Program Forms
Sample Site Review Form - Non-Congregate/Hybrid Sites					All Program Forms
Pre-Award Civil Rights Compliance Review					All Program Forms
DoD Opt-in Form PY25-26					All Program Forms
DoD Opt-in Form PY25-26					All Program Forms
CACFP - Centers Claim for Reimbursement - Site Level					CACFP - Adult Day Care
CACFP Meal Benefit Income Eligibility Form (Adult Care)					CACFP - Adult Day Care
CACFP Meal Benefit Income Eligibility Form (Adult Care) in Spanish					CACFP - Adult Day Care
CACFP Meal Benefit Income Eligibility Form Letter to Households (Adult Day Care)					CACFP - Adult Day Care
CACFP Meal Benefit Income Eligibility Form Letter to Households (Adult Day Care) in Spanish					CACFP - Adult Day Care
CACFP Medical Statement Form					CACFP - Adult Day Care
Child Nutrition Programs Waiver Request					CACFP - Adult Day Care
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs					CACFP - Adult Day Care
F&N Complaint Form - English					CACFP - Adult Day Care
F&N Complaint Form - Spanish					CACFP - Adult Day Care
Gender Separation Exception Request Form					CACFP - Adult Day Care
Permanent Agreement Between Sponsoring Organization and Adult Day Care Site					CACFP - Adult Day Care
Permanent Agreement Contracting Entity Specific Amendment - Name					CACFP - Adult Day Care
Permanent Agreement Contracting Entity Specific Amendment - Programs					CACFP - Adult Day Care
Pre-Award Civil Rights Compliance Review					CACFP - Adult Day Care
Racial/Ethnic Participant Data Collection Prototype					CACFP - Adult Day Care
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement					CACFP - Adult Day Care
Milk Flexibility for Emergency Conditions Notification Form					CACFP - Adult Day Care
Good Cause Transfer Request Form					CACFP - Adult Day Care
Micro-Purchase Log					CACFP - Adult Day Care
Small Purchase Log					CACFP - Adult Day Care
Excess Net Cash Resources Plan for CACFP/SFSP					CACFP - Adult Day Care
CACFP Serious Deficiency Process Notification Template Letters					CACFP - Adult Day Care
CACFP Serious Deficiency Process Notification Form					CACFP - Adult Day Care
Building for the Future - Black and White					CACFP - At-Risk Afterschool
Building for the Future - Color					CACFP - At-Risk Afterschool
CACFP - Centers Claim for Reimbursement - Site Level					CACFP - At-Risk Afterschool
CACFP Medical Statement Form					CACFP - At-Risk Afterschool
Child Nutrition Programs Waiver Request					CACFP - At-Risk Afterschool
Contracting Entity Request for Waiver of 15% Limit for Allowable Administrative Costs					CACFP - At-Risk Afterschool
F&N Complaint Form - English					CACFP - At-Risk Afterschool
F&N Complaint Form - Spanish					CACFP - At-Risk Afterschool
Gender Separation Exception Request Form					CACFP - At-Risk Afterschool
Permanent Agreement Between Sponsoring Organization and Child Care Site					CACFP - At-Risk Afterschool
Permanent Agreement Between Sponsoring Organization and Child Care Site - Sponsoring Organization Provides Meals/Snacks					CACFP - At-Risk Afterschool
Permanent Agreement Contracting Entity Specific Amendment - Name					CACFP - At-Risk Afterschool

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Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help. Additional translations services available as well.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

1. Mail:

U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or

2. Fax: (833) 256-1665 or (202) 690-7442; or

3. Email: program.intake@usda.gov.

This institution is an equal opportunity provider.