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Form Name	Form Number	Form Download	Form Download (Alternative Format)	Instructions Download	Program Name
Cooler or Freezer Temperature Recording Form					School Nutrition Program Forms
Daily Food Production Record for Onsite Kitchen, Central Kitchen, and Receiving Kitchen					School Nutrition Program Forms
Daily Record of Income - NSLP and SBP					School Nutrition Program Forms
Daily Record/Accuclaim Form \| Afterschool Programs					School Nutrition Program Forms
Daily Record/Accuclaim Form \| Community Eligibility Provision (CEP) and Lunch Attendance Factor Calculator					School Nutrition Program Forms
Daily Record/Accuclaim Form \| Provision 2 (P2), Non-Base Year and Lunch Attendance Factor Calculator					School Nutrition Program Forms
Daily Record/Accuclaim Form and Lunch Attendance Factor Calculator					School Nutrition Program Forms
Excess Net Cash Resources Plan					School Nutrition Program Forms
F&N Complaint Form - English					School Nutrition Program Forms
F&N Complaint Form - Spanish					School Nutrition Program Forms
Fluid Milk Substitute Worksheet					School Nutrition Program Forms
Food Service Management Company (FSMC) Contract Review Form					School Nutrition Program Forms
Food Service Pro-Rata Share of Exclusive Beverage Contract Form					School Nutrition Program Forms
Gender Separation Exception Request Form					School Nutrition Program Forms
Hiring Program Director Checklist					School Nutrition Program Forms
Income and Categorical Application Checklist					School Nutrition Program Forms
Income from Food Service Operations Form					School Nutrition Program Forms
Informal Small Purchase Log					School Nutrition Program Forms
Letter to Household - Eligibility Determination - Multiple Templates					School Nutrition Program Forms
Letter to Household - Eligibility Determination - Multiple Templates (SPANISH)					School Nutrition Program Forms
Local Wellness Policy (LWP) Checklist					School Nutrition Program Forms
Meal Accommodation Tracking Form					School Nutrition Program Forms
NSLP/SBP Media Release Prototypes					School Nutrition Program Forms
NSLP/SBP Media Release Prototypes (SPANISH)					School Nutrition Program Forms
Medical Statement Sample Form					School Nutrition Program Forms
Micro-Purchase Log					School Nutrition Program Forms
Monthly by Classroom Coded List Form					School Nutrition Program Forms
Onsite Monitoring Form \| Afterschool Care Program (ASCP) and Child and Adult Care Food Program At-Risk (CACFP At-Risk)					School Nutrition Program Forms
Onsite Monitoring Form \| Community Eligibility Provision (CEP)					School Nutrition Program Forms
Onsite Monitoring Form \| National School Lunch Program (NSLP)					School Nutrition Program Forms
Onsite Monitoring Form \| Provision 2 (P2) Year 2 and Following Years					School Nutrition Program Forms
Onsite Monitoring Form \| School Breakfast Program (SBP)					School Nutrition Program Forms
Onsite Monitoring Form \| Seamless Summer Option (SSO)					School Nutrition Program Forms
Permanent Agreement Contracting Entity Specific Amendment - Name					School Nutrition Program Forms
Permanent Agreement Contracting Entity Specific Amendment - Programs					School Nutrition Program Forms
Physical Inventory of Food Purchased Form					School Nutrition Program Forms
Pre-Award Civil Rights Compliance Review					School Nutrition Program Forms
Product Formulation Statement for Fruit Products – Sample Template					School Nutrition Program Forms
Product Formulation Statement for Grains Products – Sample Template					School Nutrition Program Forms
Product Formulation Statement for Meat/Meat Alternate (M/MA) Products – Sample Template					School Nutrition Program Forms
Product Formulation Statement for Vegetable Products – Sample Template					School Nutrition Program Forms
Professional Standards Tracking Sheet					School Nutrition Program Forms
Program/Nonprogram Cost and Revenue Proportion Calculation Worksheet					School Nutrition Program Forms
Provision 2 (P2) Feasibility Worksheet					School Nutrition Program Forms
Sample Size Calculator for Verification					School Nutrition Program Forms
Record of Program Expenditures Form					School Nutrition Program Forms
Scanned and Web-based Application Checklist, National School Lunch Program (NSLP), School Breakfast Program (SBP), and Special Milk Program (SMP)					School Nutrition Program Forms
SNP - Claim for Reimbursement - Site Level					School Nutrition Program Forms
Student-Parent Involvement Activity Form					School Nutrition Program Forms
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement					School Nutrition Program Forms

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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.