SMP Administration & Forms

TX-UNPS

SMP participants submit applications and file claims through the Texas Unified Nutrition Programs System: TX-UNPS. If you are unable to use an Internet-based application such as TX-UNPS, please contact TDA.

Application Frequently Asked Questions  Maximize 

2020-2021 Applications and Letters  Maximize 


Special Milk Program Forms

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2019-2020 Income Eligibility Guidelines for Determining Free Milk Benefits    Download File       
Special Milk Program Forms
2020-2021 Application Letter to Household for Free Milk    Download File       
Special Milk Program Forms
2020-2021 Income Eligibility Guidelines for Determining Free Milk Benefits    Download File       
Special Milk Program Forms
2020-2021 Standard (Multi-Child) Application for Free Milk    Download File    Download File   
Special Milk Program Forms
Application for Texas Identification Number  AP-152 Download File       
Special Milk Program Forms
Certificate of Authority for External Users  FND-101 Download File    Download File  Download File  
Special Milk Program Forms
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File     
Special Milk Program Forms
Certification Regarding Federal Lobbying  H2049 Download File  Download File     
Special Milk Program Forms
Child Nutrition Programs Waiver Request    Download File  Download File     
Special Milk Program Forms
Cooler or Freezer Temperature Recording Form    Download File  Download File     
Special Milk Program Forms
Direct Deposit Authorization  74-176 Download File       
Special Milk Program Forms
F&N Complaint Form    Download File       
Special Milk Program Forms
Income and Categorical Application Checklist    Download File  Download File     
Special Milk Program Forms
Letter to Household, Eligibility Based on Free Milk Application    Download File       
Special Milk Program Forms
Letter to Household, Eligibility Based on Free Milk Application - Spanish    Download File       
Special Milk Program Forms
Media Release for Free Milk Sample    Download File       
Special Milk Program Forms
Payee Change Request  74-157 Download File       
Special Milk Program Forms
Permanent Agreement Contracting Entity Specific Amendment - Name    Download File       
Special Milk Program Forms
Permanent Agreement Contracting Entity Specific Amendment - Programs    Download File       
Special Milk Program Forms
Policy Statement for Special Milk Program, Attachment B: Milk Count/Collection Procedure(s)    Download File  Download File     
Special Milk Program Forms

Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

Mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410
Fax: (202) 690-7442; or
This institution is an equal opportunity provider.

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Texas Department of Agriculture

Commissioner Sid Miller

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