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Resource | Forms USDA FNS Program Discrimination Complaint Form

This form may be used if you believe you have been subjected to discrimination in any USDA program or activity and you wish to file a complaint of discrimination.

02/15/2023
Resource | Forms Reasonable Accommodations Information

Reasonable Accommodations Information

10/04/2022
Resource | Forms FNS-74: Federal-State Agreement Child Nutrition and Food Distribution Programs

This agreement sets out the requirements for administering the child nutrition programs and the food distribution programs.

FNS-74
07/14/2022
Resource | Forms FNS-152: Monthly Distribution of Donated Foods to Family Units

The ITO/state agency must submit Form FNS-152, Monthly Distribution of Donated Foods to Family Units,  that documents the data obtained in the physical inventory with the perpetual inventory record. Shortages must be reported to the appropriate FNS regional office.

FNS-152
04/09/2020
Resource | Forms FNS-674: User Access Request Form

Form FNS-674 is used to request access to the USDA Food Program Reporting System (FPRS).  

FNS-674
04/09/2020
Resource | Forms FNS-292a: Report of Commodity Distribution for Disaster Relief

FNS Form 292A is to be used to report Commodity Distribution for Disaster Relief. 

FNS-292A
03/20/2020
Resource | Forms Igualdad de Oportunidades en el Empleo

La División de Derechos Civiles (CRD, por sus siglas en inglés) se asegura que el Servicio de Alimentos y Nutrición (FNS, por sus siglas en inglés) cumpla con las leyes, reglamentos, políticas, e instrucciones que prohíben la discriminación en contra de los empleados y los solicitantes en el trabajo federal. Las leyes de Igualdad de Oportunidades en el Empleo (EEO, por sus siglas en inglés) prohíben la discriminación en el trabajo para asegurar una contratación justa, competencia en las promociones e igualdad de acceso a oportunidades de capacitación/desarrollo. 

10/21/2019
Resource | Forms FNS-101: Participation in Food Programs - by Race

Form FNS-101: Participation in Food Programs - by Race 

FNS-101
12/02/2008
Resource | Forms FNS-57: Report of Shipment Received Over, Short and/or Damaged

Form FNS-57 is used by consignees to report overages and shortages in a shipment and commodities damaged in transit.

FNS-57
07/01/2008
Resource | Forms AD-1049: USDA Certification Regarding Drug-Free Work Place Requirements Alternative I - For Grantees Other than Individuals

FNS Form AD-1049 is the USDA Certification Regarding Drug-Free Work Place Requirements (GRANTS) Alternative I - For Grantees Other than Individuals

AD-1049
12/04/2003
Page updated: October 14, 2021