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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
AP-152 1/2008 Texas Application for Payee Identification Number
H1500 8/2007 Application for Participation/Plan of Operation
H1501 1/2007 Agreement Between Contractor and Sub-Distributing Agency
H1502 1/2007 Agreement Between Contractor and Texas Department of Agriculture
H1503 1/2007 Site Information
H1504 1/2007 Participant Application (CSFP)
H1505 1/2007 Racial/Ethnic Data Collection and Reporting
H1509 1/2007 Provisional Certification
H1515 1/2007 Application Notification
H1516 1/2007 Participant Agreement, Rights, Obligations and Fair Hearing Request
H1526 6/2005 Annual Inventory Report (TDA Commodity Contractor)
H1548 9/2007 Application/Management Plan Change
H1569 12/2007 Single Audit Identification Data
H1638 7/1991 Report of Loss of Donated Food
H1639 5/1992 Temperature Record
H1664 1/2007 Claim for Reimbursement
H1665 6/2008 Income Eligibility Guidelines for Women, Infants and Children
H1666 6/2008 Income Eligibility Guidelines for the Elderly
H2048 1/2008 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts
H2049 1/2008 Certification Regarding Federal Lobbying
H4508 7/2008 Certificate of Authority
H4529 6/2005 Authorization to Transfer USDA Commodities