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Forms

Last Published: 11/27/2013

The following forms are available from F​NS:

  • Food Distribution

FNS-7 - Destination Data for Delivery of Donated Foods Destination Data for Delivery of Donated Foods (638.19 KB)
FNS-57 - Report of Shipment Received, Over, Short and/or Damaged Report of Shipment Received, Over, Short and/or Damaged (663.29 KB)
FNS-74 - Federal-State Agreement for Child Nutrition and Food Distribution Programs Federal-State Agreement for Child Nutrition and Food Distribution Programs (1.07 MB)
FNS-101 - Participation in Food Programs - By Race Participation in Food Programs - By Race (1.01 MB)
FNS-152 - Monthly Distribution of Donated Foods to Family Units Monthly Distribution of Donated Foods to Family Units (1.34 MB)
FNS-153 - Monthly Report of the Commodity Supplemental Food Program and Quarterly Administrative Financial Status Report Monthly Report of the Commodity Supplemental Food Program and Quarterly Administrative Financial Status Report (870.76 KB)
FNS-292a - Report of Commodity Distribution for Disaster Relief Report of Commodity Distribution for Disaster Relief (1.03 MB)
FNS-292b - Report of Disaster Food Stamp Benefit Issuance Report of Disaster Food Stamp Benefit Issuance (1.98 MB)
FSA-21 - Public Voucher - Commodity Programs ublic Voucher - Commodity Programs (104.75 KB)
FNS-155 - Inventory Management Register Inventory Management Register (587.02 KB)

  • The Emergency Food Assistance Program(TEFAP)
  • Food Distribution

FNS-667 - Report of The Emergency Food Assistance Program Administrative Costs Report of The Emergency Food Assistance Program Administrative Costs (606.59 KB)

  • HR

AD-349 - Employee Address Employee Address
SF-144 - Statement of Prior Federal Service Statement of Prior Federal Service
SF-181 - Race and National Origin Race and National Origin
SF-256 - Self Identification of Handicap Self Identification of Handicap
SF-1152 - Designation of Beneficiary Designation of Beneficiary
SF-2809 - Employee Health Benefits Registration Form Employee Health Benefits Registration Form
SF-2817 - Life Insurance Election Life Insurance Election
SF-2823 - Beneficiary for Federal Employees’ Group Life Insurance Program Beneficiary for Federal Employees’ Group Life Insurance Program
OF-306 - Declaration of Federal Employment Declaration of Federal Employment
OPM-1635 - Welfare to Work Welfare to Work
TSP-1 - TSP Election Form TSP Election Form
TSP-3 - TSP Designation of Beneficiary TSP Designation of Beneficiary
SF-1199a - Direct Deposit Direct Deposit
W-4 - Employee’s Withholding Allowance Certificate Employee’s Withholding Allowance Certificate

  • Supplemental Nutrition Assistance Program (SNAP)

FNS-583 - SNAP Employment and Training (E&T) Program Activity Report SNAP Employment and Training (E&T) Program Activity Report (49.22 KB)
FNS-252-2 - SNAP Application for Meal Services Local Educational Agency Second Review of Applications Report (711.57 KB)

  • Women, Infants and Children (WIC)

FNS-339 - Federal-State Supplemental Nutrition Program Agreement Federal-State Supplemental Nutrition Program Agreement (1.03 MB)

  • School Meals

FNS-10 - Report of School Program Operations Report of School Program Operations (628.54 KB)
FNS-777 - Financial Status Report Financial Status Report (1.93 MB)
FNS-742a - Local Education Agency Second Review of Applications Report Local Education Agency Second Review of Applications Report (563.51 KB)
FNs-742 - School Food Authority (SFA) Verification Collection Report School Food Authority (SFA) Verification Collection Report (1.1 MB)
FNS-834 - State Agency (NSLP-SNAP) Direct Certification Rate Data Element Report State Agency (NSLP-SNAP) Direct Certification Rate Data Element Report (618.75 KB)
FNS-525 - State Administrative Expense Funds Reallocation Report State Administrative Expense Funds Reallocation Report (574.31 KB)
FNS-640 - Coordinated Review Effort (CRE) Data Report Coordinated Review Effort (CRE) Data Report (1.05 MB)
Quarterly Report for SFA Certification (42 KB)
FNS-828 - School Food Authority Paid Lunch Price Report School Food Authority Paid Lunch Price Report (49.1 KB)

  • OIT

FNS-674a - Form Access Request Form Access Request (1.54 MB)

  • Child and Adult Care Food Program (CACFP)

FNS-44 - Report of the Child and Adult Care Food Program Local Educational Agency Second Review of Applications Report (1.1 MB)

  • FNS ALL

FNS-245 - SNAP Case and Procedural Case Action Review Schedule SNAP Case and Procedural Case Action Review Schedule (1.11 MB)
FNS-742a - Local Educational Agency Second Review of Applications Report Local Educational Agency Second Review of Applications Report (563.51 KB)
FNS-44 - Report of the Child and Adult Care Food Program (1.1 MB)
FNS-13 - Annual Report of State Revenue Matching Local Educational Agency Second Review of Applications Report (1.05 MB)

  • Summer Food Service Program (SFSP)

FNS-418 - Report of the Summer Food Service Program for Children Local Educational Agency Second Review of Applications Report (1.09 MB)