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CSFP Administration & Forms
Commodity Supplemental Food Program participants monitor their USDA Foods through the Texas Unified Nutrition Programs System (TX-UNPS).   
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2015 Income Eligibility Guidelines for the Elderly  H1666 Download File    Download File    CSFP
2015 Income Eligibility Guidelines for Women, Infants and Children  H1665 Download File    Download File    CSFP
2016 Income Eligibility Guidelines for Children  H1665 Download File    Download File    CSFP
2016 Income Eligibility Guidelines for the Elderly  H1666   Download File    Download File   CSFP
Agreement between Contracting Entity and Site  H1501 Download File  Download File      CSFP
Agreement between Contracting Entity and Texas Department of Agriculture  H1502 Download File  Download File  Download File    CSFP
And Justice for All Poster    Download File    Download File    CSFP
Annual Audit  AUDIT Download File  Download File      CSFP
Annual Inventory Report (USDA Foods)  H1526 Download File  Download File  Download File  Download File   CSFP
Application for Participation/Plan of Operation  H1500 Download File  Download File  Download File    CSFP
Application for Texas Identification Number  AP-152 Download File        CSFP
Application Notification  H1515 Download File  Download File  Download File    CSFP
Application/Management Plan Change  H1548 Download File  Download File  Download File    CSFP
Authorization to Transfer USDA Foods  H4529 Download File  Download File  Download File  Download File   CSFP
Certificate of Authority for External Users  FND 101 Download File    Download File  Download File   CSFP
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File      CSFP
Certification Regarding Federal Lobbying  H2049 Download File  Download File  Download File    CSFP
Claim for Reimbursement  H1664 Download File  Download File  Download File    CSFP
Commodity Supplemental Food Program Written Notice of Beneficiary Rights    Download File  Download File      CSFP
Direct Deposit Authorization  74-176 Download File        CSFP
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits.  Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

 (1) mail: 
U.S. Department of Agriculture 
Office of the Assistant Secretary for Civil Rights 
1400 Independence Avenue, SW 
Washington, D.C. 20250-9410; 
(2) fax: (202) 690-7442; or 
 
 (3) email: program.intake@usda.gov.

This institution is an equal opportunity provider.
© 2016 Texas Department of Agriculture