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Administration and Forms for TEFAP

Texas Unified Nutrition Programs System

The Emergency Food Assistance Program participants monitor their USDA Foods through the Texas Unified Nutrition Programs System (TX-UNPS).

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

Form NameForm NumberForm
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Instructions
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 32 items in 2 pages
2021-2022 TEFAP Income Eligibility Guidelines  H1640 Download File    Download File    TEFAP Forms
2022-2023 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
Household Application for USDA Foods/Solicitud domestica de los alimentos del USDA  H1555 Download File  Download File  Download File  Download File   TEFAP Forms
Household Application for USDA Foods-Alternate  H1555B Download File  Download File  Download File  Download File   TEFAP Forms
Household Application for USDA Foods-Alternate (Spanish)  H1555B Download File  Download File  Download File  Download File   TEFAP Forms
Instructions for Authorization to Transfer USDA Foods  H4529     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    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

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.
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