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Form Name	Form Number	Program Name
Scanned and Web-based Application Checklist, National School Lunch Program (NSLP), School Breakfast Program (SBP), and Special Milk Program (SMP)		Special Milk Program Forms
Special Milk Program Worksheet		Special Milk Program Forms
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		Special Milk Program Forms
2024-2025 Application Letter to Household for Free Milk - SPANISH		Special Milk Program Forms
2024-2025 Standard (Multi-Child) Application for Free Milk - SPANISH		Special Milk Program Forms
Media Release for Free Milk Sample - SPANISH		Special Milk Program Forms
Disclosure of Lobbying Activities		TEFAP Forms
Disclosure of Lobbying Activities Continuation Sheet		TEFAP Forms
F&N Complaint Form - English		TEFAP Forms
F&N Complaint Form - Spanish		TEFAP Forms
Micro-Purchase Log		TEFAP Forms
Small Purchase Log		TEFAP Forms
TEFAP Agreement Between Contracting Entity and Site		TEFAP Forms
TEFAP Agreement Between Contracting Entity and Subdistributing Agency		TEFAP Forms
TEFAP Agreement Between Contracting Entity and Texas Department of Agriculture		TEFAP Forms
TEFAP Participant Rights and Responsibilities		TEFAP Forms
USDA Foods Complaint Form - English		TEFAP Forms
USDA Foods Complaint Form - Spanish		TEFAP Forms
Pre-Award Civil Rights Compliance Review		TEFAP Forms
Waiver	1	Special Milk Program Forms
Payee Change Request	74-157	CACFP - Adult Day Care
Payee Change Request	74-157	CACFP - At-Risk Afterschool
Payee Change Request	74-157	CACFP - Child Care Center
Payee Change Request	74-157	CACFP - Day Care Home
Payee Change Request	74-157	CSFP Forms
Payee Change Request	74-157	FDP Forms
Payee Change Request	74-157	FMNP Forms
Payee Change Request	74-157	School Nutrition Program Forms
Payee Change Request	74-157	SFMNP Forms
Payee Change Request	74-157	SFSP Forms
Payee Change Request	74-157	Special Milk Program Forms
Payee Change Request	74-157	TEFAP Forms
Direct Deposit Authorization	74-176	CACFP - Adult Day Care
Direct Deposit Authorization	74-176	CACFP - At-Risk Afterschool
Direct Deposit Authorization	74-176	CACFP - Child Care Center
Direct Deposit Authorization	74-176	CACFP - Day Care Home
Direct Deposit Authorization	74-176	CSFP Forms
Direct Deposit Authorization	74-176	FDP Forms
Direct Deposit Authorization	74-176	FMNP Forms
Direct Deposit Authorization	74-176	School Nutrition Program Forms
Direct Deposit Authorization	74-176	SFMNP Forms
Direct Deposit Authorization	74-176	SFSP Forms
Direct Deposit Authorization	74-176	Special Milk Program Forms
Direct Deposit Authorization	74-176	TEFAP Forms
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Adult Day Care Site	AMEND 1	CACFP - Adult Day Care
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Child Care Site	AMEND 1	CACFP - At-Risk Afterschool
Amendment 1 to Permanent Agreement Between Sponsoring Organization and Child Care Site	AMEND 1	CACFP - Child Care Center
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site	AMEND 2	CACFP - At-Risk Afterschool
Amendment 2 to Permanent Agreement Between Sponsoring Organization and Child Care Site - Sponsoring Organization Provides Meals/Snacks	AMEND 2	CACFP - At-Risk Afterschool
Application for Texas Identification Number	AP-152	CACFP - Adult Day Care

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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.