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Administration and Forms for SMP

TX-UNPS

SMP participants submit applications and file claims through the Texas Unified Nutrition Programs System: TX-UNPS. If you are unable to use an Internet-based application such as TX-UNPS, please contact TDA.

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2022-2023 Applications and Letters  Maximize 


Special Milk Program Forms

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2021-2022 Income Eligibility Guidelines for Determining Free Milk Benefits    Download File       
Special Milk Program Forms
2022-2023 Application Letter to Household for Free Milk    Download File       
Special Milk Program Forms
2022-2023 Income Eligibility Guidelines for Determining Free Milk Benefits    Download File       
Special Milk Program Forms
2022-2023 Standard (Multi-Child) Application for Free Milk    Download File    Download File   
Special Milk Program Forms
Application for Texas Identification Number  AP-152 Download File       
Special Milk Program Forms
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts  H2048 Download File  Download File     
Special Milk Program Forms
Certification Regarding Federal Lobbying  H2049 Download File  Download File     
Special Milk Program Forms
Child Nutrition Programs Waiver Request    Download File  Download File     
Special Milk Program Forms
Cooler or Freezer Temperature Recording Form    Download File  Download File     
Special Milk Program Forms
Direct Deposit Authorization  74-176 Download File       
Special Milk Program Forms
F&N Complaint Form - English    Download File    Download File   
Special Milk Program Forms
F&N Complaint Form - Spanish    Download File    Download File   
Special Milk Program Forms
Income and Categorical Application Checklist    Download File  Download File     
Special Milk Program Forms
Letter to Household, Eligibility Based on Free Milk Application    Download File       
Special Milk Program Forms
Letter to Household, Eligibility Based on Free Milk Application - Spanish    Download File       
Special Milk Program Forms
Media Release for Free Milk Sample    Download File       
Special Milk Program Forms
Payee Change Request  74-157 Download File       
Special Milk Program Forms
Permanent Agreement Contracting Entity Specific Amendment - Name    Download File       
Special Milk Program Forms
Permanent Agreement Contracting Entity Specific Amendment - Programs    Download File       
Special Milk Program Forms
Policy Statement for Special Milk Program, Attachment B: Milk Count/Collection Procedure(s)    Download File  Download File     
Special Milk Program Forms

Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted 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; or
2. Fax: (833) 256-1665 or (202) 690-7442; or
 
This institution is an equal opportunity provider.
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