Signatures| Commodities | Training
Site Access | Outreach | Appeals | Forms
Current School and ISD 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 Field and Nutrition Field Operations Office.)
These forms can be downloaded three ways:
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
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Required
Signatures
Only an Authorized Representative that has been authorized on a Form H1590-W,
SFSP Application for Participation (Independent School District NSLP
Supplement), or on a Form H4508, Food and Nutrition Division Certificate of
Authority,
can sign program-related documents for your organization.
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USDA Food Commodities
You must complete and submit Form H1591, Extension of Agreement for Receipt of USDA-Donated Commodities, if you wish to extend your National School
Lunch/School Breakfast Program contract to receive SFSP commodities.
If you have any questions about this form, please contact Ester Serna at (512) 420-2429 or by e-mail at Ester.Serna@tda.state.tx.us.
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Required
Training
All 2008 SFSP sponsors must receive program training before they can begin operating their SFSP.
As a convenience to school districts 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.
School districts that sponsored the SFSP in Summer 2007 have the option of attending a training session or completing the SFSP Self-Paced Training. A copy of the SFSP Self-Paced Training material will be mailed to your school district in a separate package.
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.
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Site Access
If your school district sponsors a SFSP
feeding site(s) at which summer school will be in session, Federal Regulations
require that such sites be open to both children enrolled in the summer school
and to all children (18 years old and younger) residing in the area served by
the site.
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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.
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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 TDA within 10 days of the receipt of the adverse action notification. The phone number for contacting staff at the Appeals Division is (512) 463-4075. The 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
Austin, Texas 78711
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
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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 Table
Form |
Form Title |
Number to Submit |
Instructions |
Attachment #1
|
Texas Department Of Agriculture Food And Nutrition Division Food And Nutrition Field Operations Offices (F&N FOO) |
|
|
Attachment #2
|
Copy of the SFSP Forms Table for Current School and ISD Sponsors |
|
|
Attachment #3 |
Copy of the USDA Donated Commodity Forms Table |
|
|
TDA Agreement
(July 2008) |
Texas Department of Agriculture Food and Nutrition Division Agreement
|
2 |
Both FND Agreements must be completed, signed with original signatures, and returned. A signed form will be returned to you after TDA approves your application. |
Form H1590-W
(January 2008) |
Application for Participation
(Independent School District NSLP Supplement) |
2 |
Both copies must be completed, signed with original signatures, and returned. A signed form will be returned to you after TDA approves your application. |
Form H1590/Attachment A (January 2008) |
Public Release (Independent School Districts NSLP Supplement) |
1 |
Complete and send one form to your Food and Nutrition Field Operations Office. |
Outreach Plan Attachment
(January 2002)
MS Word
PDF |
Application Outreach Plan for Open and Restricted Open Sites |
1 |
Complete and submit to your Food and Nutrition Field Operations Office. |
Form H1507
(January 2008) |
Site Information |
2 per site |
Submit original and one copy for each feeding site you will operate that is located in a non-school location. |
Form H1571
(January 2007) |
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. |
Form H1572
(March 2007) |
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. |
Form H1573
(December 2007) |
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. |
Form H4508
(December 2007) |
Certificate of Authority |
1 |
Submit an original and one copy. Use this form to add, change, or delete Authorized Representatives. |
Charitable Choice
MS Word
PDF |
Special Nutrition Program Charitable Choice Data Form |
1 |
Optional - Complete and return with application. |
Self-Paced Training Certification |
Self-paced Training Certificate to verify completion of required program training |
1 |
Submit a copy of the self-paced training certificate with your completed application. Keep the original for your files. |
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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 915 KB
in size.
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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 |