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COVID-19 Intake Forms
Use the information below to complete the appropriate COVID-19-related intake form.


COVID-19 Intake Forms
All Contracting Entities (CEs) operating in School Years 2020-2021 must notify TDA if they are opting into the following waivers:
  • Non-congregate meal service
  • Alternative mealtimes
  • No child present/Parent pick-up
  • Offer vs Serve Waiver (for Senior High Schools only)
Use the following chart to identify the form you need to submit:
 Form Purpose Which CEs Need To Complete the Form  Type of Data
Reported 
 Name and
URL for Form
TDA has requested that you complete a survey with program and site data from July 2020 to Dec 2020. This form is submitted just the one-time.
All CACFP/NSLP/SFSP/SSO that operated with waivers July 2020 to Dec 2020. 

SFSP/SSO operators will need to report the number of congregate/non-congregate meals served.

CACFP/NSLP operators can update the total number of meals served.

  • July 2020 to Dec 2020
  • Number of NSLP/SFSP/SSO school sites
  • Number of NSLP/SFSP/SSP non-school sites
  • Number of CACFP sites offering childcare
  • Number of CACFP sites serving meals only – no childcare
  • Number of congregate and non/congregate meals served
One-Time Data Collection Form - July 2020 to December 2020 (Required)
Are you implementing a COVID-19 flexibility for the first time in PY 2020-2021?
Any CACFP/NSLP/SFSP/SSO operator implementing a flexibility for the first time.
  • Which flexibility will be implemented?
  • What is the first month that the flexibility will be used in meal service?
  • How meals will be distributed
COVID-19 Waiver Implementation or Discontinue Use Notification
Do you plan to stop using non-congregate service, alternate mealtime, Parent Pick-up, or Offer vs Serve at ALL sites under your sponsorship?
Any CACFP/NSLP/SFSP/SSO operator discontinuing a flexibility at ALL sites.
  • Which flexibility will be discontinued?
  • What month will you no longer use the flexibility?
COVID-19 Waiver Implementation or Discontinue Use Notification
Do you need to report the number of meals served monthly in Jan 2021 to June 2021?
All CACFP/NSLP/SFSP/SSO operators using a COVID-19 flexibility.
  • The number of congregate/non-congregate meals served by program type
  • Number of sites operating by type
COVID-19 Monthly Site and Meal Count Data Submission

NOTE: This form must be submitted monthly at the same time that claims are filed in TX-UNPS.

Do you need to request area-eligibility for SFSO/SSO sites?
Any SFSP/SSO operator that wishes to serve in-need-populations at ineligible sites.
  COVID-19 Area Eligibility Intake Form for SFSP/SSO

Area Eligibility During School Year 2020 Intake Form

USDA has granted TDA the discretion through June 30, 2021 to waive Summer Food Service Program/Seamless Summer Operation (SFSP/SSO) area eligibility requirements under the following circumstances:

  • CEs that wish to serve in-need populations from one or more open SFSP/SSO non-congregate sites that do not meet area eligibility requirements may submit this form and will be considered for approval based on the submitted justification.  
  • CEs who are providing closed enrolled congregate SFSP/SSO service to students onsite at schools in non-eligible areas must opt-in via this form.

Note that an approved area eligibility waiver is NOT approval to operate the sites for which the waiver applies. You must have an approved SFSP/SSO site application; approval is dependent on there being at least one area eligible site within your district. If operating a closed enrolled SFSP/SSO site in a non-eligible area, there must be an open non-congregate site within your school's feeder pattern. 


Click here to access the Area Eligibility During School Year 2020 Intake Form.

NOTE: If you were approved for an area eligibility waiver earlier in the spring or summer, that waiver has been extended through June 30, 2021, and you do not have to resubmit this form for those non-congregate sites. You do need to resubmit this form for any sites not previously approved and to indicate your intention to operate a closed enrolled congregate service at any non-area eligible schools.

Meal Pattern Waiver Request Form

The Meal Pattern Waiver Request Form allows meal pattern flexibilities to support access to nutritious meals while minimizing potential exposure to COVID-19 during SY 2020-2021. TDA's COVID-19 Meal Pattern Flexibility Options Training provides you guidance in determining if the waiver is appropriate for your situation.

Click here for the new Meal Pattern Waiver Request Form
, which has increased its functionality to allow for the following requests:

  • Meal pattern exceptions and changes under the following circumstances (refer to these instructions for more information):
    • Food component is unavailable due to supply disruption
    • Justified absence in adequate labor support due to unforeseen illness/quarantine of child nutrition staff member(s)
    • Shortage of planned packaging for the identified meal component
    • Lack of storage
  • Age/grade waiver requests for NSLP and SSO operators
  • Notification that NSLP/SBP CE intends to serve one type of milk at meal service

See below for additional resources about the meal pattern flexibility:



Notification of Intent to Use Retroactive Distribution of Commodity Supplemental Food Packages

Food Banks that plan to use retroactive distribution of CSFP food packages when a distribution site closes due to COVID-19 must notify TDA by submitting the following form:

Food Bank CSFP COVID-19 Participation Intake Form

Note that this flexibility is currently set to expire March 31, 2021.

Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

Mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410
Fax: (202) 690-7442; or
 
This institution is an equal opportunity provider.
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