The Emergency Food Assistance Program Manual

Appendix B – Forms

Form No.TitleEnglishSpanishBosnian
FD-3 TEFAPReport of Receipts & Distributions - TEFAPEnglish
FD-4Distribution Data ReportEnglish
FD-5Report of USDA-Donated Food LossEnglish
FD-5DUSDA Foods Complaint FormEnglish
FD-6Food Bank/Eligible Recipient Agency AgreementEnglish
FD-7USDA Foods Distribution Rate WorksheetEnglish
FD-9Physical Inventory of USDA-Donated FoodsEnglish
FD-15A Pt 1Application For Receipt of TEFAP Foods Eligibility CriteriaEnglishSpanishBosnian
FD-15A Pt 2Application For Receipt of TEFAP Foods Signature PageEnglishSpanish
FD-19DDistribution Rate ChartEnglish
FD-29Transfer of USDA-Donated FoodsEnglish
FD-32DRecord of Expenditures Under TEFAP Financial AssistanceEnglish
FD-35Forms RequestEnglish
FD-50Written Notice of Beneficiary RightsEnglish
FD-50ABeneficiary Referral RequestEnglish
FD-133FBOMB Single Audit Requirement StatementEnglish