Application Packets:
Current School  and ISD Sponsors
Current Non-school Sponsors
New School, ISD Sponsors
New Non-school Sponsors
Media Kit
Training Schedule
Summer Food Service Program Guides
Fuel Up for Summer Fun Sponsor Booklet (PDF Format)
Sponsors Speak
2004 Shining Stars
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Signatures| Commodities | Training  
Site Access | Outreach | Appeals | Forms

New School, 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 Food and Nutrition Field Operations Office).

Note: TDA is prohibited from approving an SFSP application submitted after June 15, 2008.

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.

This application packet contains a permanent agreement, which, hereafter, will require that you provide only updated information to our office at the beginning of the operation of your SFSP.

 

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Required Signatures

Only an Authorized Representative that has been authorized on Form H1590-W, SFSP Application for Participation (Independent School District NSLP Supplement), or on 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. Submit this form to your Food and Nutrition Field Operations Office when you submit your SFSP Contract Application forms.

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 be approved to operate their SFSP.

As a convenience to school districts interested in becoming an SFSP sponsor, 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.

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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

You may request copies of a SFSP information poster that you can 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 adverse action, a copy of the adverse action letter and be received by TDA within 10 days of 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
P.O. Box 12847
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 your school district in serving nutritious meals to more children in Texas in Summer 2008!

Forms

Form

Title of Form

Number to Submit

Instructions

Attachment #1
 

Listing of SNP Area Program Offices w / Addresses

   

Attachment #2
 

Copy of the SFSP Forms Table for New School, ISD Sponsors

   
Attachment #3

Copy of the USDA Donated Commodity Forms Table

   

TDA Agreement
(January 2008)

Texas Department of Agriculture Food and Nutrition Division

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 and agreement.

Form H1510
(Januray 2008)

First-Week Site Visit Waiver Request

1

If you would like to request a waiver, complete and return original to your F&N FOO.

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 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 1590
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 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 H4508
(July 2007)

Certificate of Authority

1

Submit an original and one copy. Use this form to add, change, or delete Authorized Representatives.

Form H4526
(December 2007)

Pre-Award Civil Rights Compliance Review

1

Complete and return original to your F&N FOO.

Form 74-176
Rev. 1-07/5

Vendor Direct Deposit Authorization

1

Complete and return original to your F&N FOO.

Form-AP 152
Rev. 6-7/10

Texas Application for Payee Identification Number

1

Complete and return original to your F&N FOO.

Charitable Choice
MS Word
PDF

Special Nutrition Program Charitable Choice Data Form

1

Optional - Complete and return with application.

Training Certificate Training Certificate verifying completion of required program training

1

Submit a copy of your 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