Navigation

Public Records Request
Natural Resources Building
P.O. Box 42560
1111 Washington ST SE
Olympia, WA 98504-2560
Phone: (360) 902-1800

Forms

Back
Home / Services / Food Access / Hunger Relief Agency Hub / TEFAP / TEFAP Forms

What do you need today?

TEFAP Forms for Lead Agencies and Sub Agencies

Agreement Eligibility and Other Required Documents

Lead Agency Sub Agency
AGR-2383 FA Accounting System and Financial Capability Questionnaire AGR-2241 Alternate 501(c)(3) Church Verification Form
AGR-2384 FA Suspension and Debarment Certification    
AGR-2385 Lead Agency Site List AGR-2387 Sub Agency Site List
AGR-2325 FA Request for Alternate Language Approval AGR-2325 FA Request for Alternate Language Approval
AGR-8220 Federal Funding Accountability and Transparency Act (FFATA) Compliance AGR-8220 Federal Funding Accountability and Transparency Act (FFATA) Compliance
AGR-8007 FA Interested Party Lead Agency Eligibility Verification Checklist    

Audit & Accounting

Lead Agency Sub Agency
AGR-2206 FA Accounting System Verification Form AGR-2206 FA Accounting System Verification Form
AGR-2207 FA Single Audit Exemption Form - Lead Agencies AGR-2217 FA Audit Requirement Form for Sub Agencies

Civil Rights/Nondiscrimination

AGR-443 Annual Civil Rights Compliance Training Instructions [Russian] [Spanish] [Ukrainian]
AGR-2198 Annual Civil Rights Training Checklist for Frontline Staff, Volunteers, and Managers [Russian] [Spanish] [Ukrainian]
AGR-2199 Annual Civil Rights Training Checklist for Non-Frontline Staff and Volunteers [Russian] [Spanish] [Ukrainian]

Equipment and Capital Improvement Management

Equipment Procedures Capital Improvement Procurement
AGR-454 Equipment and Equipment Repairs Procurement Guidelines AGR-898 Capital Improvement Procurement Guidelines
AGR-2204 FA Equipment Procurement Request/Approval Form AGR-2308 FA Capital Improvement Procurement Request/Approval Form
AGR-2615 FA Equipment Repair Request/Approval Form    
Equipment Disposition Capital Improvement Disposition
AGR-452 Equipment Disposition Guidelines AGR-978 Capital Improvement Disposition Guidelines
AGR-2203 FA Equipment Disposition Request/Approval Form AGR-2613 FA Capital Improvement Disposition Request/Approval Form
Equipment - Annual Reporting Capital Improvement - Annual Reporting
AGR-2201 FA Annual Equipment Inventory Report AGR-2614 FA Annual Capital Improvement Inventory Report

Inventory Management

Lead Agency Sub Agency
AGR-2258 TEFAP USDA Receiving Document   TEFAP Sub Agency Inventory Training Slides
AGR-2321 TEFAP Lead Agency Inventory Report AGR-2272 TEFAP Sub Agency Inventory Report-Multipage
AGR-2321A TEFAP Lead Agency Inventory Report - No Carryover AGR-2272E TEFAP Sub Agency Inventory Report
AGR-2256 USDA Foods Loss/Adjustment Report for Lead Agencies AGR-2279 TEFAP USDA Foods Loss/Adjustment Report for Sub Agencies
AGR-2329 FA USDA Foods Complaint Form    

Invoices

Lead Agency
AGR-2323 TEFAP CCC Funding Lead Agency Invoice Voucher
AGR-2323S TEFAP CCC Funding Year 2 Lead Agency Invoice Voucher
AGR-2323C TEFAP CCC Funding Year 2 Phase 3 Lead Agency Invoice Voucher
AGR-2233 TEFAP Lead Agency Invoice Voucher
AGR-2233F TEFAP Gap Federal Lead Agency Invoice Voucher
AGR-2233S TEFAP Gap State Lead Agency Invoice Voucher
AGR-2233E TEFAP Gap Enhanced Lead Agency Invoice Voucher
AGR-8240 TEFAP/CSFP Bridge Lead Agency Invoice Voucher

Client Forms and Publications

AGR-2345 TEFAP Receipt of USDA Commodities Proxy Form [Chinese] [Korean] [Russian] [Somali] [Spanish] [Ukrainian] [Vietnamese]
AGR-2271 TEFAP Household Intake [Chinese] [Korean] [Russian] [Somali] [Spanish] [Ukrainian] [Vietnamese]
AGR-2342 TEFAP Individual Client Intake - Annual [Chinese] [Korean] [Russian] [Somali] [Spanish] [Ukrainian] [Vietnamese]
AGR-768 8x10 TEFAP Client Notification Handout [Chinese] [Korean] [Russian] [Somali] [Spanish] [Ukrainian] [Vietnamese]
AGR-768 16x20 TEFAP Client Notification Poster [Chinese] [Korean] [Russian] [Somali] [Spanish] [Ukrainian] [Vietnamese]
AGR-768 24x36 TEFAP Client Notification Poster [Chinese] [Korean] [Russian] [Somali] [Spanish] [Ukrainian] [Vietnamese]
AGR-445 TEFAP Income Eligibility Guidelines [Chinese] [Korean] [Russian] [Somali] [Spanish] [Ukrainian] [Vietnamese]
AGR-10017
8.5x11		 Partnerships with Faith-Based and Neighborhood Organizations Final Rule Written Notice of Beneficiary/Client Rights
[Chinese] [Korean] [Russian] [Somali] [Spanish] [Tagalog] [Ukrainian] [Vietnamese]
AGR-10017
11x17		 Partnerships with Faith-Based and Neighborhood Organizations Final Rule Written Notice of Beneficary/Client Rights
[Chinese] [Korean] [Russian] [Somali] [Spanish] [Tagalog] [Ukrainian] [Vietnamese]

Reviews

Lead Agency Sub Agency
AGR-2225 FA Lead Agency Review AGR-2227 FA Sub Agency Review
Contractor    
AGR-2326 State-Level Distribution and Storage Contractor Review Form    

Sub Agency Agreements

AGR-2215 TEFAP Sub Agency Agreement
AGR-2215T TEFAP Sub Agency Agreement for Federally Recognized Tribes
AGR-8008 FA Sub Agency Agreement Amendment Template

WSDA-USDA Information

TEFAP State Plan
FA FNS Agreement
Return to Hunger Relief Agency Hub

Return to TEFAP Main Page