FNS Documents & Resources | Food and Nutrition Service

Resource | Forms USDA FNS Program Discrimination Complaint Form

This form may be used if you believe you have been subjected to discrimination in any USDA program or activity and you wish to file a complaint of discrimination.

02/15/2023

Resource | Forms Meal Benefit Income Eligibility Form

Instructions for Child and Adult Care Food Program Centers, Sponsoring Organizations and Family Day Care Home Providers

10/04/2022

Resource | Forms FNS-292a: Report of Commodity Distribution for Disaster Relief

FNS Form 292A is to be used to report Commodity Distribution for Disaster Relief.

FNS-292A

03/20/2020

Resource | Forms FNS-292b: Report of Disaster Food Stamp Benefit Issuance

FNS-292b

12/07/2012

Resource | Forms FSA-21: Public Voucher - Commodity Programs

State agencies apply for reimbursement using Form FSA-21, submitted to the appropriate FNS regional office for approval.

FSA-21

03/11/2003

Resource | Forms AD-1048: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR part 3017, Section 3017.510, Participants' responsibilities. The regulations were published as Part IV of the Jan. 30, 1989, Federal Register (pages 4722-4733).

08/16/2001