Administration and Forms for TEFAP

Updated Form H4529 for Transfer of USDA Foods

Any Contracting Entity (CE) that has allocations of USDA Foods may transfer those commodities to another CE. This is applicable to transfers between food bank CEs participating in CSFP and/or TEFAP. The Authorization to Transfer USDA Foods (Form H4529) is an electronic form used by the Transferring CE currently allocated the inventory item(s) to initiate the transfer, to obtain TDA approval, and to document the transfer. The H4529 must be completed prior to transferring any USDA Foods. Refer below for more instructions:

TEFAP Forms

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Form Name Form Number Form Download Form Download (Alternative Format) Instructions Download Program Name
2024-2025 TEFAP Income Eligibility Guidelines H1640 Download File Download File TEFAP Forms
2023-2024 TEFAP Income Eligibility Guidelines H1640 Download File Download File TEFAP Forms
Annual Audit AUDIT Download File Download File TEFAP Forms
Application for Texas Identification Number AP-152 Download File TEFAP Forms
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts H2048 Download File Download File TEFAP Forms
Certification Regarding Federal Lobbying H2049 Download File Download File TEFAP Forms
Direct Deposit Authorization 74-176 Download File TEFAP Forms
Disclosure of Lobbying Activities Download File TEFAP Forms
Disclosure of Lobbying Activities Continuation Sheet Download File TEFAP Forms
F&N Complaint Form - English Download File Download File TEFAP Forms
F&N Complaint Form - Spanish Download File Download File TEFAP Forms
FND-136 Security Authorization for WBSCM Users FND136 Download File Download File TEFAP Forms
Household Application for USDA Foods/Solicitud domestica de los alimentos del USDA H1555 Download File Download File Download File TEFAP Forms
Household Application for USDA Foods-Alternate H1555B Download File Download File Download File TEFAP Forms
Household Application for USDA Foods-Alternate (Spanish) H1555B Download File Download File Download File TEFAP Forms
Instructions for Authorization to Transfer USDA Foods H4529 Download File Download File TEFAP Forms
Micro-Purchase Log Download File Download File TEFAP Forms
Payee Change Request 74-157 Download File TEFAP Forms
Report of Loss of USDA Foods H1638 Download File Download File TEFAP Forms
Request for Emergency USDA Foods H1579 Download File Download File Download File TEFAP Forms
Small Purchase Log Download File Download File TEFAP Forms
TEFAP Agreement Between Contracting Entity and Site Download File Download File TEFAP Forms
TEFAP Agreement Between Contracting Entity and Subdistributing Agency Download File Download File TEFAP Forms
TEFAP Agreement Between Contracting Entity and Texas Department of Agriculture Download File Download File Download File TEFAP Forms
TEFAP Participant Rights and Responsibilities Download File Download File TEFAP Forms
TEFAP Site Information H1510 Download File TEFAP Forms
Temperature Record H1639 Download File Download File Download File TEFAP Forms
USDA Foods Complaint Form - English Download File Download File TEFAP Forms
USDA Foods Complaint Form - Spanish Download File Download File TEFAP Forms
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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.

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/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:

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.
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