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All Program Forms

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Form Name	Form Number	Program Name
Governing Body Awareness	GBA	CACFP - At-Risk Afterschool
Governing Body Awareness	GBA	CACFP - Child Care Center
Governing Body Awareness	GBA	CACFP - Day Care Home
USDA School Food Authority (SFA) Verification Collection Report	FNS-742	School Nutrition Program Forms
Security Authority for FDP Processing Co-Op Coordinators	FND-139	FDP Forms
Security of Authority for FDP Warehouse	FND-138	FDP Forms
Security of Authority for FDP Processor	FND-137	FDP Forms
FND-136 Security Authorization for WBSCM Users	FND136	CSFP Forms
FND-136 Security Authorization for WBSCM Users	FND136	TEFAP Forms
Hazard Analysis Critical Control Point (HACCP) Checklist	FND-104	School Nutrition Program Forms
FMNP Farmer Profile and Agreement Between Farmer and Farmers’ Market Association	FMNP-03	FMNP Forms
FMNP Agreement Between Contracting Entity and Famers’ Market Association	FMNP-02	FMNP Forms
FMNP Agreement Between TDA and Contracting Entity – AMENDMENT	FMNP-01A	FMNP Forms
FMNP Agreement Between TDA and Contracting Entity	FMNP-01	FMNP Forms
Performance Bond	BOND	CACFP - Adult Day Care
Performance Bond	BOND	CACFP - At-Risk Afterschool
Performance Bond	BOND	CACFP - Child Care Center
Performance Bond	BOND	CACFP - Day Care Home
Annual Audit	AUDIT	CACFP - Adult Day Care
Annual Audit	AUDIT	CACFP - At-Risk Afterschool
Annual Audit	AUDIT	CACFP - Child Care Center
Annual Audit	AUDIT	CACFP - Day Care Home
Annual Audit	AUDIT	CSFP Forms
Annual Audit	AUDIT	FMNP Forms
Annual Audit	AUDIT	SFMNP Forms
Annual Audit	AUDIT	TEFAP Forms
Application for Texas Identification Number	AP-152	CACFP - Adult Day Care
Application for Texas Identification Number	AP-152	CACFP - At-Risk Afterschool
Application for Texas Identification Number	AP-152	CACFP - Child Care Center
Application for Texas Identification Number	AP-152	CACFP - Day Care Home
Application for Texas Identification Number	AP-152	CSFP Forms
Application for Texas Identification Number	AP-152	FDP Forms
Application for Texas Identification Number	AP-152	FMNP Forms
Application for Texas Identification Number	AP-152	School Nutrition Program Forms
Application for Texas Identification Number	AP-152	SFMNP Forms
Application for Texas Identification Number	AP-152	SFSP Forms
Application for Texas Identification Number	AP-152	Special Milk Program Forms
Application for Texas Identification Number	AP-152	TEFAP Forms
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
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
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

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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.