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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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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  Download File   TEFAP Forms
TEFAP Participant Rights and Responsibilities    Download File  Download File      TEFAP Forms
Temperature Record  H1639 Download File  Download File  Download File    TEFAP Forms
The Emergency Food Assistance Program (TEFAP) and/or The Commodity Supplemental Food Program (CSFP) Written Notice of Beneficiary Rights    Download File  Download File      TEFAP Forms
The Emergency Food Assistance Program (TEFAP) and/or The Commodity Supplemental Food Program (CSFP) Written Notice of Beneficiary Rights - Spanish    Download File  Download File      TEFAP Forms
The Emergency Food Assistance Program and the Commodity Supplemental Food Program Beneficiary Referral Request    Download File  Download File      TEFAP Forms
The Emergency Food Assistance Program and the Commodity Supplemental Food Program Beneficiary Referral Request - Spanish     Download File  Download File      TEFAP Forms
The Emergency Food Assistance Program Written Notice of Beneficiary Rights    Download File  Download File      TEFAP Forms
The Emergency Food Assistance Program Written Notice of Beneficiary Rights - Spanish    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

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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