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Form Name	Form Number	Program Name
Weekly/Monthly Number Coded List Form		School Nutrition Program Forms
Weekly/Monthly Number Coded List Form		School Nutrition Program Forms
Waiver	1	Special Milk Program Forms
Voucher Receipt Log	H1451	SFMNP Forms
Verification Report \| Individual Household Form		School Nutrition Program Forms
Verification Letter Sample Templates Suite - SPANISH		All Program Forms
Verification Letter Sample Templates Suite - SPANISH		School Nutrition Program Forms
Verification Letter Sample Templates Suite		School Nutrition Program Forms
Vendor Integrity Evaluation Report		FMNP Forms
Vendor Integrity Evaluation Report		SFMNP Forms
Valid At-Risk Unaffiliated Site Questionnaire/Attestation		CACFP - At-Risk Afterschool
USDA School Food Authority (SFA) Verification Collection Report	FNS-742	School Nutrition Program Forms
USDA Foods Complaint Form - Spanish		CSFP Forms
USDA Foods Complaint Form - Spanish		FDP Forms
USDA Foods Complaint Form - Spanish		TEFAP Forms
USDA Foods Complaint Form - English		CSFP Forms
USDA Foods Complaint Form - English		FDP Forms
USDA Foods Complaint Form - English		TEFAP Forms
USDA Foods Agreement Between Contracting Entity and Texas Department of Agriculture		FDP Forms
USDA Foods Agreement Between Contracting Entity and Texas Department of Agriculture		School Nutrition Program Forms
USDA Foods Agreement Between Contracting Entity and Texas Department of Agriculture		SFSP Forms
Unanticipated School Closure Notification Forms		All Program Forms
Unanticipated School Closure Notification Forms		School Nutrition Program Forms
Unanticipated School Closure Notification Form		SBP Forms
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		CACFP - Adult Day Care
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		CACFP - At-Risk Afterschool
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		CACFP - Child Care Center
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		CACFP - Day Care Home
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		School Nutrition Program Forms
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		SFSP Forms
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement		Special Milk Program Forms
test form	TEST FORM	TDA -- Forms/Publications
Temporary Certification	H1509	CSFP Forms
Temperature Record	H1639	CSFP Forms
Temperature Record	H1639	FDP Forms
Temperature Record	H1639	SFSP Forms
Temperature Record	H1639	TEFAP Forms
TEFAP Site Information	H1510	TEFAP Forms
TEFAP Participant Rights and Responsibilities		TEFAP Forms
TEFAP Agreement Between Contracting Entity and Texas Department of Agriculture		TEFAP Forms
TEFAP Agreement Between Contracting Entity and Subdistributing Agency		TEFAP Forms
TEFAP Agreement Between Contracting Entity and Site		TEFAP Forms
Student-Parent Involvement Activity Form		School Nutrition Program Forms
Start Up or Expansion Payments Application		CACFP - Day Care Home
Start Up or Expansion Payments Agreement		CACFP - Day Care Home
Sponsoring Organization Disbursement Record	H4503	CACFP - Adult Day Care
Sponsoring Organization Disbursement Record	H4503	CACFP - At-Risk Afterschool
Sponsoring Organization Disbursement Record	H4503	CACFP - Child Care Center
Special Milk Program Worksheet		Special Milk Program Forms
SNP - Claim for Reimbursement - Site Level		School Nutrition Program 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/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.