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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.

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 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
Pre-Award Civil Rights Compliance Review    Download File  Download File      SFSP Forms
Prototype Letter: Health Department Notification    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, 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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