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Form Name	Form Number	Program Name
Certification Regarding Federal Lobbying	H2049	SFMNP Forms
Claim for Reimbursement Vouchers and Administrative Expenses		SFMNP Forms
Direct Deposit Authorization	74-176	SFMNP Forms
Disclosure of Lobbying Activities		SFMNP Forms
Disclosure of Lobbying Activities Continuation Sheet		SFMNP Forms
F&N Complaint Form - English		SFMNP Forms
F&N Complaint Form - Spanish		SFMNP Forms
Farmers' Market Review		SFMNP Forms
Farmers' Voucher Redemption List		SFMNP Forms
Participant Application - English	H1430	SFMNP Forms
Participant Application - Spanish	H1430S	SFMNP Forms
Participant Voucher Issuance Log		SFMNP Forms
Payee Change Request	74-157	SFMNP Forms
S/FMNP Farmers' Market, Roadside Stand, and Certification/Issuance Site Information Form	H1420	SFMNP Forms
Senior Farmers' Market Nutrition Program Allowed-Disallowed Foods	H1440	SFMNP Forms
SFMNP Agreement Between Contracting Entity and Famers’ Market Association	SFMNP-03	SFMNP Forms
SFMNP Agreement Between Contracting Entity and Sub-Distributing Agency	SFMNP-02	SFMNP Forms
SFMNP Agreement Between TDA and Contracting Entity	SFMNP-01	SFMNP Forms
SFMNP Farmer Profile and Agreement Between Farmer and Farmers’ Market Association	SFMNP-04	SFMNP Forms
SFMNP Farmer Profile and Bulk Purchase Agreement	SFMNP-05	SFMNP Forms
SFMNP Site Review		SFMNP Forms
Vendor Integrity Evaluation Report		SFMNP Forms
Voucher Receipt Log	H1451	SFMNP Forms
2023 - 2024 School Data for Area Eligibility	SCHOOL DATA	SFSP Forms
2022 - 2023 School Data for Area Eligibility	SCHOOL DATA	SFSP Forms
Addendum - Option to Renew IFB and Contract for Purchased Meals SFSP	IFB - RENEW SFSP	SFSP Forms
Addendum - Option to Renew IFB and Contract for Purchased Meals SFSP & At-Risk	IFB - RENEW SFSP & AT-RISK	SFSP Forms
Additional Assurances for Camps, Conditional Non-Congregate Sites, and Other Enrollment Programs that Charge Separately for Meals; Collection of Payment Options for Programs that Charge Separately for Meals	H1506-A	SFSP Forms
Application for Texas Identification Number	AP-152	SFSP Forms
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts	H2048	SFSP Forms
Certification Regarding Federal Lobbying	H2049	SFSP Forms
Child Nutrition Programs Waiver Request		SFSP Forms
Daily Menu Production Worksheet		SFSP Forms
Direct Deposit Authorization	74-176	SFSP Forms
Disclosure of Lobbying Activities		SFSP Forms
Disclosure of Lobbying Activities Continuation Sheet		SFSP Forms
F&N Complaint Form - English		SFSP Forms
F&N Complaint Form - Spanish		SFSP Forms
Gender Separation Exception Request Form		SFSP Forms
Payee Change Request	74-157	SFSP Forms
Permanent Agreement Contracting Entity Specific Amendment - Name		SFSP Forms
Permanent Agreement Contracting Entity Specific Amendment - Programs		SFSP Forms
Pre-Award Civil Rights Compliance Review		SFSP Forms
Prototype Letter: Health Department Notification		SFSP Forms
Racial/Ethnic Participant Data Collection Prototype		SFSP Forms
Record of Leftover/Recycled Food	H1568	SFSP Forms
SFSP - Claim for Reimbursement - Site Level		SFSP Forms
SFSP and At-Risk Invitation for Bid (IFB) and Contract for Purchased Meals	IFB - SFSP AND AT-RISK	SFSP Forms
SFSP Invitation for Bid (IFB) and Contract for Purchased Meals	IFB - SFSP	SFSP Forms
Shared Eligibility Form		SFSP 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.