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Form Name	Form Number	Program Name
Attachment B - FNS 709-5 (Direct Ship schools only)		FDP Forms
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts	H2048	FDP Forms
Certification Regarding Federal Lobbying	H2049	FDP Forms
Delivery Location Template		FDP Forms
Direct Deposit Authorization	74-176	FDP Forms
Disclosure of Lobbying Activities		FDP Forms
Disclosure of Lobbying Activities Continuation Sheet		FDP Forms
F&N Complaint Form - English		FDP Forms
F&N Complaint Form - Spanish		FDP Forms
Further Processing of USDA Foods Roles and Responsibilities		FDP Forms
Instructions for Authorization to Transfer USDA Foods	H4529	FDP Forms
Instructions for Authorization to Transfer USDA Foods for Further Processing	H4529.1	FDP Forms
Payee Change Request	74-157	FDP Forms
Report of Loss of USDA Foods	H1638	FDP Forms
Request for Emergency USDA Foods	H1579	FDP Forms
Security Authority for FDP Processing Co-Op Coordinators	FND-139	FDP Forms
Security of Authority for FDP Processor	FND-137	FDP Forms
Security of Authority for FDP Warehouse	FND-138	FDP Forms
Temperature Record	H1639	FDP Forms
USDA Foods Agreement Between Contracting Entity and Texas Department of Agriculture		FDP Forms
USDA Foods Complaint Form - English		FDP Forms
USDA Foods Complaint Form - Spanish		FDP Forms
Child Nutrition Programs Waiver Request		FFVP Forms
F&N Complaint Form - English		FFVP Forms
F&N Complaint Form - Spanish		FFVP Forms
Permanent Agreement Contracting Entity Specific Amendment - Programs		FFVP Forms
Annual Audit	AUDIT	FMNP Forms
Application for Texas Identification Number	AP-152	FMNP Forms
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts	H2048	FMNP Forms
Certification Regarding Federal Lobbying	H2049	FMNP Forms
Claim for Reimbursement		FMNP Forms
Direct Deposit Authorization	74-176	FMNP Forms
Disclosure of Lobbying Activities		FMNP Forms
Disclosure of Lobbying Activities Continuation Sheet		FMNP Forms
F&N Complaint Form - English		FMNP Forms
F&N Complaint Form - Spanish		FMNP Forms
Farmers' Market Nutrition Program Allowed-Disallowed Foods	H1442	FMNP Forms
Farmers' Market Review		FMNP Forms
Farmers' Voucher Redemption List		FMNP Forms
FMNP Agreement Between Contracting Entity and Famers’ Market Association	FMNP-02	FMNP Forms
FMNP Agreement Between TDA and Contracting Entity	FMNP-01	FMNP Forms
FMNP Agreement Between TDA and Contracting Entity – AMENDMENT	FMNP-01A	FMNP Forms
FMNP Farmer Profile and Agreement Between Farmer and Farmers’ Market Association	FMNP-03	FMNP Forms
Participant Voucher Issuance Log		FMNP Forms
Payee Change Request	74-157	FMNP Forms
Plan of Operation	H1406	FMNP Forms
S/FMNP Farmers' Market, Roadside Stand, and Certification/Issuance Site Information Form	H1420	FMNP Forms
Vendor Integrity Evaluation Report		FMNP Forms
2020-2021 Paid Lunch Equity Tool		NSLP Handbook: Administrator's Reference Manual
2020-2021 Paid Lunch Equity Tool		NSLP Handbook: Administrator's Reference Manual

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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.