Forms

• TEFAP Eligibility Certification

  • DPH 40059 English (Word fillable)  

  • DPH 40059H Hmong (Word fillable)

  • DPH 40059R Russian (Word fillable)

  • DPH 40059S Spanish (Word fillable)

  • DPH 40059SA Spanish Migrant (Word fillable)

• Emergency Feeding Organization (EFO) Monitoring Instrument

  • DPH 40070  (Word fillable) 

• TEFAP/CSFP Commodity Loss Report

  • DPH 40062 (Word fillable) 

• TEFAP Pantry Review Report

  • DPH 40066 (Word fillable)

• TEFAP/CSFP Commodity Complaint

  • DPH 40063 (Word fillable)

• TEFAP Commodities Inventory

  • DPH 40061 (Word fillable)

• Transfer of TEFAP Commodities Between EFOs

  • DPH 40064 (Word fillable)

• Storage Facility Review Monitoring Report

  • DPH 40065 (Word fillable)

Last Revised: March 28, 2006