Forms

All Program Forms

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Form Name Form Number Form Download Form Download (Alternative Format) Instructions Download Program Name
Start Up or Expansion Payments Agreement Download File CACFP - Day Care Home
Sponsoring Organization Disbursement Record H4503 Download File Download File Download File CACFP - Adult Day Care
Sponsoring Organization Disbursement Record H4503 Download File Download File Download File CACFP - At-Risk Afterschool
Sponsoring Organization Disbursement Record H4503 Download File Download File Download File CACFP - Child Care Center
Special Milk Program Worksheet Download File Download File Special Milk Program Forms
SNP - Claim for Reimbursement - Site Level Download File Download File Download File School Nutrition Program Forms
Small Purchase Log Download File Download File CACFP - Adult Day Care
Small Purchase Log Download File Download File CACFP - At-Risk Afterschool
Small Purchase Log Download File Download File CACFP - Child Care Center
Small Purchase Log Download File Download File CACFP - Day Care Home
Small Purchase Log Download File Download File CSFP Forms
Small Purchase Log Download File Download File SFSP Forms
Small Purchase Log Download File Download File TEFAP Forms
Site Information H1503 Download File CSFP Forms
Shared Eligibility Form Download File Download File CACFP - Child Care Center
Shared Eligibility Form Download File Download File CACFP - Day Care Home
Shared Eligibility Form Download File Download File SFSP Forms
SFSP/SSO Meal Count Form - Non-Congregate Meal Bundling Download File School Nutrition Program Forms
SFSP/SSO Meal Count Form - Non-Congregate Meal Bundling Download File SFSP Forms
SFSP/SSO Daily Meal Count Form - Standard Congregate Service Download File School Nutrition Program Forms
SFSP/SSO Daily Meal Count Form - Standard Congregate Service Download File SFSP Forms
SFSP Invitation for Bid (IFB) and Contract for Purchased Meals IFB - SFSP Download File Download File SFSP Forms
SFSP Household Application for Closed Enrolled and Camp Sites (Prototype) Download File SFSP Forms
SFSP and At-Risk Invitation for Bid (IFB) and Contract for Purchased Meals IFB - SFSP AND AT-RISK Download File Download File CACFP - At-Risk Afterschool
SFSP and At-Risk Invitation for Bid (IFB) and Contract for Purchased Meals IFB - SFSP AND AT-RISK Download File Download File SFSP Forms
SFSP - Claim for Reimbursement - Site Level Download File Download File Download File SFSP Forms
SFMNP Site Review Download File Download File Download File SFMNP Forms
SFMNP Farmer Profile and Bulk Purchase Agreement SFMNP-05 Download File Download File SFMNP Forms
SFMNP Farmer Profile and Agreement Between Farmer and Farmers’ Market Association SFMNP-04 Download File Download File SFMNP Forms
SFMNP Agreement Between TDA and Contracting Entity – AMENDMENT SFMNP-01A Download File Download File SFMNP Forms
SFMNP Agreement Between TDA and Contracting Entity SFMNP-01 Download File Download File SFMNP Forms
SFMNP Agreement Between Contracting Entity and Sub-Distributing Agency SFMNP-02 Download File Download File SFMNP Forms
SFMNP Agreement Between Contracting Entity and Famers’ Market Association SFMNP-03 Download File Download File SFMNP Forms
Senior Farmers' Market Nutrition Program Allowed-Disallowed Foods H1440 Download File Download File SFMNP Forms
Security of Authority for FDP Warehouse FND-138 Download File Download File FDP Forms
Security of Authority for FDP Processor FND-137 Download File Download File FDP Forms
Security Authority for FDP Processing Co-Op Coordinators FND-139 Download File Download File FDP Forms
Scanned and Web-based Application Checklist, National School Lunch Program (NSLP), School Breakfast Program (SBP), and Special Milk Program (SMP) Download File Download File School Nutrition Program Forms
Scanned and Web-based Application Checklist, National School Lunch Program (NSLP), School Breakfast Program (SBP), and Special Milk Program (SMP) Download File Download File Special Milk Program Forms
Sample Size Calculator for Verification Download File School Nutrition Program Forms
Sample Site Review Form - Non-Congregate/Hybrid Sites Download File All Program Forms
Sample Site Review Form - Non-Congregate/Hybrid Sites Download File SFSP Forms
Sample Site Review Form - Congregate Site Download File SFSP Forms
Sample Pre-Operational Visit Form Download File SFSP Forms
Sample First Two Weeks Site Visit Form Download File SFSP Forms
S/FMNP Farmers' Market, Roadside Stand, and Certification/Issuance Site Information Form H1420 Download File Download File FMNP Forms
S/FMNP Farmers' Market, Roadside Stand, and Certification/Issuance Site Information Form H1420 Download File Download File SFMNP Forms
Review H1602 Download File Download File CACFP - Adult Day Care
Review H1606-AT Download File Download File CACFP - At-Risk Afterschool
Review H1606 Download File Download File CACFP - Child Care Center
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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
This institution is an equal opportunity provider.
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