Latest Coronavirus Updates
Administration and Forms for Summer Meal Programs

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.

SFSP Forms

Form NameForm NumberForm
Download
Instructions
Download
Program Name
  
First Page Previous Page
12
Next Page Last Page
Page size:
select
 30 items in 2 pages
Prototype Letter: Health Department Notification    Download File        SFSP Forms
Racial/Ethnic Participant Data Collection Prototype    Download File  Download File      SFSP Forms
Record of Leftover/Recycled Food  H1568 Download File  Download File      SFSP Forms
SFSP - Claim for Reimbursement - Site Level    Download File  Download File  Download File  Download File   SFSP Forms
SFSP and At-Risk Invitation for Bid (IFB) and Contract for Purchased Meals  IFB - SFSP AND AT-RISK Download File  Download File      SFSP Forms
SFSP Invitation for Bid (IFB) and Contract for Purchased Meals  IFB - SFSP Download File  Download File      SFSP Forms
Shared Eligibility Form    Download File  Download File      SFSP Forms
Temperature Record  H1639 Download File  Download File  Download File    SFSP Forms
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement    Download File        SFSP Forms
USDA Foods Agreement Between Contracting Entity and Texas Department of Agriculture    Download File    Download File  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, 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
 
This institution is an equal opportunity provider.
SquareMeals.org Logo


Facebook Icon Instagram Icon
Twitter Icon YouTube Icon