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Published: 20 days ago
" TEFAP application forms and accompanying instructions have been revised to reflect changes to USDA regulation.
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TEFAP application forms and accompanying instructions have been revised to reflect changes to USDA regulation. The forms now include the requirement that a zip code is the minimum piece of information required at the time of application to establish participant residency. While a full address may be requested, it is not required for a participant to receive USDA Foods via TEFAP.
The update forms are:
• H1555 - Household Application for USDA Foods and Instructions (and Instructions) NOTE: Form contains both English and Spanish
• H1555b – Alternate Household Application for USDA Foods (both English and Spanish versions) and Instructions (both English and Spanish versions)
The forms and instructions can be found on the TEFAP Administration/Forms page.
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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.
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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, 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/ad-3027.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:
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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
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| This institution is an equal opportunity provider. |
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