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All Program Forms

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Form Name	Form Number	Program Name
Permanent Agreement Between Sponsoring Organization and Adult Day Care Site		CACFP - Adult Day Care
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
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
Participant Voucher Issuance Log		FMNP Forms
Participant Voucher Issuance Log		SFMNP Forms
Participant Transfer Form		CSFP Forms
Participant Rights and Responsibilities	H1516	CSFP Forms
Participant Notification of SFSP Meals - Closed Enrolled Site - NON-AREA ELIGIBLE		All Program Forms
Participant Notification of SFSP Meals - Closed Enrolled Site - NON-AREA ELIGIBLE		SFSP Forms
Participant Notification of SFSP Meals - Closed Enrolled Site - CAMP SITE		SFSP Forms
Participant Notification of SFSP Meals - Closed Enrolled Site - AREA ELIGIBLE		SFSP Forms
Participant Application - Spanish	H1430S	SFMNP Forms
Participant Application - English	H1430	SFMNP Forms
Participant Application	H1504	CSFP Forms
Onsite Monitoring Form \| Seamless Summer Option (SSO)		School Nutrition Program Forms
Onsite Monitoring Form \| School Breakfast Program (SBP)		School Nutrition Program Forms
Onsite Monitoring Form \| Provision 2 (P2) Year 2 and Following Years		School Nutrition Program Forms
Onsite Monitoring Form \| National School Lunch Program (NSLP)		School Nutrition Program Forms
Onsite Monitoring Form \| Community Eligibility Provision (CEP)		School Nutrition Program Forms
Onsite Monitoring Form \| Afterschool Care Program (ASCP) and Child and Adult Care Food Program At-Risk (CACFP At-Risk)		School Nutrition Program Forms
NSLP/SBP Media Release Prototypes (SPANISH)		School Nutrition Program Forms
NSLP/SBP Media Release Prototypes		School Nutrition Program Forms
Notice to Providers of Tier Determination (Child and Adult Care Food Program-Day Care Homes)	H1659	CACFP - Day Care Home
Monthly by Classroom Coded List Form		School Nutrition Program Forms
Milk Flexibility for Emergency Conditions Notification Form		CACFP - Adult Day Care
Milk Flexibility for Emergency Conditions Notification Form		CACFP - Child Care Center
Milk Flexibility for Emergency Conditions Notification Form		CACFP - Day Care Home
Milk Flexibility for Emergency Conditions Notification Form		SBP Forms
Milk Flexibility for Emergency Conditions Notification Form		School Nutrition Program Forms
Milk Flexibility for Emergency Conditions Notification Form		SFSP Forms
Milk Flexibility for Emergency Conditions Notification		All Program Forms
Milk Flexibility for Emergency Conditions Notification		CACFP - At-Risk Afterschool
Micro-Purchase Log		All Program Forms
Micro-Purchase Log		CACFP - Adult Day Care
Micro-Purchase Log		CACFP - At-Risk Afterschool
Micro-Purchase Log		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.