Forms & Resources

2023 TEFAP Attestation Forms - Updated July 2023:

2023 Client Intake Forms - Updated June 2023:
Due to administrative changes at the USDA, the updated forms (2023 TEFAP Client Intake Form & 2023 Income Guidelines) posted below will be used for the remainder of 2023. A new form will be expected in February 2024 when the poverty calculations that set the income guidelines for TEFAP are updated. 

2023 TEFAP Eligibility Income Guidelines
2023 TEFAP Client Intake Form
2023 TEFAP Intake Form (Spanish Version)
2022-2023 TEFAP Intake Form & Process Guidance - REVISED 11/2022
TEFAP Program Fact Sheet
2023 Neighbor Intake Addendum

2022-2023 HPNAP Forms:
HPNAP Capital Equipment Transfer/Disposal Form
Operation Support Documentation
Equipment Award Documentation
Local Produce Award Documentation
Documentation Standards
Eligible Expense Chart

Agency Operations Forms:
Refrigeration Temperature Log 
Partner Agency Change of Information Form
Monthly Service Tally Sheet
Partner Agency Site Visit Checklist
Food Safety Training Log
Meal Temperature Log

Agency Sign Package:
Agency Bill of Rights 
Fresh Foods Site Bill of Rights
Fresh Foods Guest Bill of Rights
Guest Bill of Rights 
Guest Bill of Rights - Spanish
TEFAP Written Notice of Beneficiary Rights
Food Pantry Statement of Services
Partner Agency & Guest Bill of Rights
USDA Civil Rights Training Log.

Food Safety:
Guidelines for Repacking Food by Food Pantries
Refrigeration Storage Chart
Food Keeper App
Food Keeper Brochure
Shelf Life of Common Food Bank Products
The Color of Meat & Poultry
Keep Your Food Safe During Emergencies

Retail Partnership Agreement:
Retail Partnership Application

Important Forms for Local Produce Award Awardees:
Vegetable Conversion Chart
Fruit Conversion Chart

Important Nutrition Forms:
Food Dating Guide
Food Safety Steps