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Signatures|
Commodities
| Training
Food
Service |Outreach
| Appeals
| Forms
Current Non-school Sponsors
Summer Food Service Program Application Packet
Program Year 2008
This page includes a list of forms that must be completed and submitted to the Texas Department of Agriculture (TDA).
Please complete the required number of copies of these forms and submit them to your Food and Nutrition Field Operations Office by April 15, 2008. (Click here to find your Food and Nutrition Field Operations Office.)
These forms can be downloaded three ways:- individually from the forms table below
- through the forms section of the Summer Food Services Program Handbook
- as one PDF file
It is recommended that you keep a copy of all documents submitted with your application.
Note: Forms that are not contained in the Forms Section of the Summer Food Service Program Handbook can be found in the table below or in the downloadable PDF file mentioned above.
If you or the person who will complete these forms are not able to access the forms from the website, please call: (877) TEX-MEAL.
Required Signatures
Only an Authorized Representative that has been authorized on Form H4508, Food and Nutrition Division Certificate of Authority, can sign program-related forms for your organization.
USDA Food Commodities
To receive United States Department of Agriculture (USDA) donated commodities you must complete the forms listed on the USDA Donated Commodity forms page and submit them to your Food and Nutrition Field Operations Office.
These forms must be sent to your Food and Nutrition Field Operations Office when you submit your SFSP Contract Application forms. If you have any questions about the SFSP Commodity Application forms, please contact Ester Serna at (512) 420-2429 or by e-mail at Ester.Serna@tda.state.tx.us.
Required Training
All 2008 SFSP sponsors must receive program training before they can begin operating their SFSP. As a convenience to organizations that will operate a SFSP in Summer 2008, training sessions will be held in several cities across the state. Click here for the 2008 SFSP Training Schedule. Please refer to the instructions on that webpage about how to make your reservations for the training session you and/or your staff would like to attend.
Note: You will receive a certificate verifying your completion of the required program training. You must submit a copy of this certificate with your completed application.
Food Service Management Company
If your organization plans to contract with a Food Service Management Company to provide SFSP meals, you must use Form H1628, Summer Food Service Program Invitation for Bid and Contract, for each bid solicitation. All federal and state contracting requirements must also be adhered to. Please refer to Sections 4000 and 7000 in your SFSP Handbook for detailed information.
Outreach Materials
A SFSP information poster is available for you to use to conduct outreach for your SFSP. This poster can be placed in locations in your community to create awareness about and increase participation in your program. The poster contains the 24 hour statewide SFSP Hotline telephone number, 2-1-1(Note: You must wait until after May 20, 2008 to call the 2-1-1 system for information about the Summer Food Service Program operating in your area), that anyone can call to request information about the location of the nearest SFSP feeding site. Please call: (877) TEX-MEAL to order a supply of SFSP Posters.
Appeal Rights
You have the right to appeal any action by TDA that affects your participation in the SFSP, or your SFSP claim for reimbursement. Your written request for an appeal must include the basis for the appeal of the adverse action, a copy of the adverse action letter and be received by HHSC within 10 days of receipt of the adverse action notification. The phone number for contacting staff at the Appeals Division is (512) 463-4075. Thew written appeal request should be mailed certified mail, return receipt requested, or faxed to:
TDA Appeals
ATTN: John Wiley, Docket Clerk
Texas Department of Agriculture
P.O. Box 12847
Austin, Texas 78701
You may hand-deliver or submit your appeal request via overnight/special delivery service to the following street address:
SFA Building, Room 1125E
1700 North Congress
Austin, Texas 78701
We look forward to working with you in continuing to increase the number of children in Texas who receive nutritious meals in Summer 2008!
Forms
|
Form |
Title of Form |
Number to Submit |
Instructions |
|
Listing of FND Field Operations Offices w / Addresses |
|||
|
Copy of the SFSP Forms Table for Current Non-Schools Sponsors |
|||
|
Copy of the USDA Donated Commodity Forms Table |
|||
|
TDA
Agreement |
Texas Department of Agriculture Food and Nutrition Division Agreement |
2 |
Two FND Agreements must be completed, signed with original signatures, and returned A signed form will be returned to you after TDA approves your application and agreement. |
|
Application for Participation |
2 |
Two copies must be completed, signed with original signatures, and returned. A signed form will be returned to you after TDA approves your application and agreement. | |
|
Additional Assurances for Camps and Other Enrollment Programs that Charge Separately for Meals |
2 |
Submit two copies if your organization will operate camps or other enrolled programs that charge separately for meals. | |
|
Criminal Provisions and Penalties |
1 |
Submit one copy. | |
|
Application Outreach Plan for Open and Restricted Open Sites |
1 |
Complete and submit to your Field Operations Office. | |
|
Site Information |
2 per site |
Submit original and one copy for each feeding site participating under your agreement. | |
|
Single Audit Identification Data, for Contract Year 2008 |
2 |
Submit an original and one copy. | |
|
Invitation For Bid and Contract (FNS-688) |
2 |
For organizations who plan to contract with a Food Service Management Company to provide SFSP meals. Submit an original and one copy for each solicitation for bids. | |
First-Week Site Visit Waiver Request |
1 |
If you would like to request a waiver, complete and return original to your F&N FOO. |
|
Request for Waiver to Server More Than 25 Sites |
1 |
Private nonprofit sponsors only If you would like to request awaiver, complete and return original to your F&N FOO. |
|
Request for Waiver of the 15 Consecutive School Day Requirement |
1 |
If you would like to request a waiver, complete and return original to your F&N FOO. |
|
Request for Waiver of Time Restrictions for Meal Services at an SFSP Site |
1 |
If you would like to request a waiver, complete and return original to your F&N FOO. |
|
Request For Waiver of Number and Type of Meals Served at an SFSP Site |
1 |
If you would like to request a waiver, complete and return original to your F&N FOO. |
|
|
Certificate of Authority |
2 |
Submit an original and one copy. Use this form to add, change, or delete Authorized Representatives. | |
|
Special Nutrition Program Charitable Choice Data Form |
1 |
Optional - Complete and return with application. | |
|
Tax Exemption |
Proof of Tax Exemption (Non-Profit Organizations Only) |
1 |
If you are a Non-Profit Organization, submit a copy of your IRS Tax Exemption Letter. |
|
Training Certificate |
Training Certificate verifying completion of required program training |
1 |
Submit a copy of the training certificate with your completed application. Keep the original for your files. |
Download all forms
You may download all the forms in the table above in one PDF file. These forms must be printed and completed by hand or on a typewriter, signed, and returned to per the instructions in the table above. You cannot complete the PDF forms online. This forms package is approximately 1,294 KB in size.
Documents in PDF format require the use of the free Adobe Reader, which can be downloaded from Adobe Systems, Inc. You can also download the free Acrobat Accessibility Reader for PDFs.
Updated: March 5, 2008