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Resource | Forms Supplemental Form: Free and Reduced Price Meal Participation Implementation Grants (All Others)

USDA Farm to School Grant Program. Supplemental Form: Free and Reduced Price Meal Participation Implementation Grants (All Others)

05/22/2012
Resource | Forms FNS-711: Supplemental Form for Collecting Taxpayer Identifying Numbers

FNS Form 711 - Supplemental Form for Collecting Taxpayer Identifying Numbers

04/11/2011
Resource | Forms USDA Prototype State and Local Agreement

Addendum to state agency – school food authority agreement

11/23/2010
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-667: Report of The Emergency Food Assistance Program (TEFAP) Administrative Costs

Form FNS-667 is used by state agencies to report use of TEFAP administrative funds.  

FNS-667
07/01/2008
Resource | Forms FNS-153: Monthly Report of the CSFP and Quarterly Administrative Financial Status Report

Per 7 CFR 247.29(b)(2), the CSFP state agency must report the receipt and distribution of commodities, as well as beginning and ending inventories and other commodity data on a monthly basis via the FNS-153, Monthly Report of the Commodity Supplemental Food Program and Quarterly Administrative Financial Status Report.

FNS-153
07/01/2008
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
Resource | Forms FSA-21: Public Voucher - Commodity Programs

State agencies apply for reimbursement using Form FSA-21, submitted to the appropriate FNS regional office for approval. 

FSA-21
03/11/2003
Resource | Forms AD-1048: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR part 3017, Section 3017.510, Participants' responsibilities. The regulations were published as Part IV of the Jan. 30, 1989, Federal Register (pages 4722-4733).

08/16/2001
Page updated: October 14, 2021