Summer Feeding Administration & Forms

USDA SFSP Reference Materials/Sample Forms and TDA SFSP Forms

USDA’s SFSP Administrative Guidance for Sponsors (AGS) has a section titled Reference Materials where USDA has provided documents that can be used by contracting entities (sponsors) and sites. In addition, the USDA SFSP Sponsor Monitor’s Guide and the Nutrition Guide also have sample forms that can be used. You can find the USDA SFSP handbooks at http://www.fns.usda.gov/sfsp/handbooks. Forms provided by TDA for use in SFSP are available in the table below.

NOTE: If you need a USDA form/attachment that was previously posted in the table below, send an email request to FNDPolicy@TexasAgriculture.gov. In the subject of the email, list the full name of the form/attachment requested.


SFSP Reimbursement Rates  Maximize 

SSO Reimbursement Rates  Maximize 

SFSP Forms

Form NameForm NumberForm
Download
Instructions
Download
Program Name
  
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 35 items in 2 pages
2013-2014 PEIMS School Data  PEIMS Download File        SFSP Forms
2014-2015 PEIMS School Data  PEIMS Download File        SFSP Forms
2015-2016 PEIMS School Data  PEIMS Download File        SFSP Forms
2016-2017 School Data  SCHOOL DATA Download File        SFSP Forms
2017-2018 School Data  SCHOOL DATA Download File        SFSP Forms
2018 - 2019 School Data  SCHOOL DATA Download File        SFSP Forms
2019 - 2020 School Data  SCHOOL DATA Download File        SFSP Forms
Addendum - Option to Renew IFB and Contract for Purchased Meals SFSP  IFB - RENEW SFSP Download File  Download File      SFSP Forms
Addendum - Option to Renew IFB and Contract for Purchased Meals SFSP & At-Risk  IFB - RENEW SFSP & AT-RISK Download File  Download File      SFSP Forms
Additional Assurances for Camps and Other Enrollment Programs that Charge Separately for Meals; Collection of Payment Options for Programs that Charge Separately for Meals  H1506-A Download File  Download File  Download File    SFSP Forms
Application for Texas Identification Number  AP-152 Download File        SFSP Forms
Certificate of Authority for External Users  FND-101 Download File    Download File  Download File   SFSP Forms
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File      SFSP Forms
Certification Regarding Federal Lobbying  H2049 Download File  Download File      SFSP Forms
Child Nutrition Programs Waiver Request    Download File  Download File      SFSP Forms
Daily Menu Production Worksheet    Download File  Download File  Download File    SFSP Forms
Direct Deposit Authorization  74-176 Download File        SFSP Forms
Disclosure of Lobbying Activities    Download File        SFSP Forms
Disclosure of Lobbying Activities Continuation Sheet    Download File        SFSP Forms
F&N Complaint Form    Download File        SFSP 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: http://www.ascr.usda.gov/complaint_filing_cust.html, 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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Commissioner Sid Miller

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