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.

Application Frequently Asked Questions  Maximize 

Special Milk Program Forms

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Form Name Form Number Form Download Form Download (Alternative Format) Instructions Download Program Name
2023-2024 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
2023-2024 Standard (Multi-Child) Application for Free Milk Download File Download File Special Milk Program Forms
2023-2024 Income Eligibility Guidelines for Determining Free Milk Benefits 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
Scanned and Web-based Application Checklist, National School Lunch Program (NSLP), School Breakfast Program (SBP), and Special Milk Program (SMP) Download File Download File Special Milk Program Forms
Special Milk Program Worksheet Download File Download File Special Milk Program Forms
Texas Department of Agriculture Food and Nutrition Division Permanent Agreement Download File Special Milk Program Forms
Waiver 1 Download File Special Milk Program Forms
2023-2024 Application Letter to Household for Free Milk - SPANISH Download File Special Milk Program Forms
2023-2024 Standard (Multi-Child) Application for Free Milk - SPANISH Download File Download File Special Milk Program Forms
Media Release for Free Milk Sample - SPANISH Download File Special Milk Program Forms
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Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help. Additional translations services available as well.

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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