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All Program Forms

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Form Name	Form Number	Program Name
Small Purchase Log		CACFP - Adult Day Care
Small Purchase Log		CACFP - At-Risk Afterschool
Small Purchase Log		CACFP - Child Care Center
Small Purchase Log		CACFP - Day Care Home
Small Purchase Log		CSFP Forms
Small Purchase Log		SFSP Forms
Small Purchase Log		TEFAP Forms
Site Information	H1503	CSFP Forms
Shared Eligibility Form		CACFP - Child Care Center
Shared Eligibility Form		CACFP - Day Care Home
Shared Eligibility Form		SFSP Forms
SFSP Invitation for Bid (IFB) and Contract for Purchased Meals	IFB - SFSP	SFSP Forms
SFSP Household Application for Closed Enrolled and Camp Sites (Prototype)		SFSP Forms
SFSP and At-Risk Invitation for Bid (IFB) and Contract for Purchased Meals	IFB - SFSP AND AT-RISK	CACFP - At-Risk Afterschool
SFSP and At-Risk Invitation for Bid (IFB) and Contract for Purchased Meals	IFB - SFSP AND AT-RISK	SFSP Forms
SFSP - Claim for Reimbursement - Site Level		SFSP Forms
SFMNP Site Review		SFMNP Forms
SFMNP Farmer Profile and Bulk Purchase Agreement	SFMNP-05	SFMNP Forms
SFMNP Farmer Profile and Agreement Between Farmer and Farmers’ Market Association	SFMNP-04	SFMNP Forms
SFMNP Agreement Between TDA and Contracting Entity	SFMNP-01	SFMNP Forms
SFMNP Agreement Between Contracting Entity and Sub-Distributing Agency	SFMNP-02	SFMNP Forms
SFMNP Agreement Between Contracting Entity and Famers’ Market Association	SFMNP-03	SFMNP Forms
Senior Farmers' Market Nutrition Program Allowed-Disallowed Foods	H1440	SFMNP Forms
Security of Authority for FDP Warehouse	FND-138	FDP Forms
Security of Authority for FDP Processor	FND-137	FDP Forms
Security Authority for FDP Processing Co-Op Coordinators	FND-139	FDP 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
Scanned and Web-based Application Checklist, National School Lunch Program (NSLP), School Breakfast Program (SBP), and Special Milk Program (SMP)		Special Milk Program Forms
Sample Site Review Form - Non-Congregate/Hybrid Sites		All Program Forms
Sample Site Review Form - Non-Congregate/Hybrid Sites		SFSP Forms
Sample Site Review Form - Congregate Site		SFSP Forms
Sample Pre-Operational Visit Form		SFSP Forms
Sample First Two Weeks Site Visit Form		SFSP Forms
S/FMNP Farmers' Market, Roadside Stand, and Certification/Issuance Site Information Form	H1420	FMNP Forms
S/FMNP Farmers' Market, Roadside Stand, and Certification/Issuance Site Information Form	H1420	SFMNP Forms
Review	H1602	CACFP - Adult Day Care
Review	H1606-AT	CACFP - At-Risk Afterschool
Review	H1606	CACFP - Child Care Center
Review	H1607	CACFP - Day Care Home
Request to Provide Non-Congregate Feeding during Extreme Heat		SFSP Forms
Request for Emergency USDA Foods	H1579	CSFP Forms
Request for Emergency USDA Foods	H1579	FDP Forms
Request for Emergency USDA Foods	H1579	TEFAP Forms
Report of Loss of USDA Foods	H1638	CSFP Forms
Report of Loss of USDA Foods	H1638	FDP Forms
Report of Loss of USDA Foods	H1638	TEFAP Forms
Record of Program Expenditures Form		School Nutrition Program Forms
Record of Leftover/Recycled Food	H1568	CACFP - Adult Day Care
Record of Leftover/Recycled Food	H1568	CACFP - At-Risk Afterschool
Record of Leftover/Recycled Food	H1568	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/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.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.