Food & Nutrition Division Skip to Content
  More info? Call (888)TEX-KIDS or e-mail squaremeals@tda.state.tx.us.
 

Forms

Forms Table of Contents

Note: Most of the following forms are available in Adobe Acrobat PDF format. They are provided as a convenience to users; however, they cannot be completed online or submitted electronically to the agency. To view and print the forms, you must download the free Adobe Acrobat reader. You may also download the free Acrobat Accessibility Reader for PDFs. A few forms are offered in Microsoft Word. If you have questions or comments regarding forms, instructions, or their related handbooks, please contact us at squaremeals@tda.state.tx.us.

NumberEffective DateTitle
74-176 1/2008 Vendor Direct Deposit Authorization
AP-152 1/2008 Texas Application for Payee Identification Number
H1520 9/2007 Sponsoring Organization Monitoring Staff Information
H1521 9/2007 Eligibility of For-Profit Child Care Centers
H1529 9/2007 Food Service Management Company/Vendor Monitor Review
H1530 9/2007 Daily Meal Production Records (Centers and Emergency Shelters)
H1530-A 9/2007 Daily Meal Production Record for Infants (Child Care Centers, Emergency Shelters, and Day Care Homes)
H1530-B 9/2007 Daily Meal Production Record for At Risk Afterschool (Snack)
H1531 6/2008 Child Nutrition Program Application (Child Care Food Program and Summer Food Service Program)
H1531-S 6/2008 Child Nutrition Program Application (Child Care Food Program and Summer Food Service Program) - Spanish
H1532 7/2008 Claim for Reimbursement
H1535 3/2007 Daily Meal Count and Attendance Record (Centers and Emergency Shelters)
H1536-B 7/2008 Application and Management Plan for New Child Care Centers
H1536-C 7/2008 Renewal Application and Management Plan for Child Care
H1536-F 7/2007 Annual Update for Child Care Center/Facilities
H1538 7/2008 Application Between Contracting Organization and Child Care Center
H1548 9/2007 Application/Management Plan Change
H1568 9/2007 Record of Recycled Food
H1569 12/2007 Single Audit Identification Data
H1604 12/2007 Child Care Facility Participation
H1606 9/2007 Monitor Review (Child Care Centers)
H1625 2/2008 Parent Letter Pricing
H1625-A 6/2008 Income Eligibility Guidelines For Determining Free and Reduced-Price Benefits July 1, 2008 - June 30, 2009
H1626 9/2007 Parent Letter - Nonpricing Programs
H1630 7/2007 Permanent Agreement Between Contracting Organization and Child Care Facility
H2048 1/2008 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts
H2049 1/2008 Certification Regarding Federal Lobbying
H4502 4/2007 Claim for Reimbursement Worksheet-Meals
H4503 9/2006 Sponsoring Organization Disbursement Record
H4504 6/2008 Income Eligibility Guidelines For Determining Free and Reduced Price Benefits July 1, 2008 - June 30, 2009
H4505 7/2007 Free and Reduced-Price Policy Statement for the Child and Adult Food Program (Nonpricing Only)
H4508 7/2008 Certificate of Authority
H4515 6/2006 Free and Reduced Price Meal Policy Statement (For Contractors that Charge Separately for Meals)
H4515-A 6/2006 Child Care Food Program Collection Procedures
H4526 7/2008 Pre-Award Civil Rights Compliance Review
H4528 7/2008 Title XX/Free-Reduced Price Certification - Child Care Centers