TEFAP DOCUMENTS
Welcome! We hope you find the TEFAP information you need on this page. If you have any questions or concerns, don’t hesitate to call Jacob McIntosh 828-299-3663 x 1289. If you have any specific questions about the TEFAP reporting process or using Web Windows, please contact Chris Rainwater at 828-299-3663 x 1272.
- If you need individual TEFAP forms, or an entire packet, you can print them right off this web page. Just scroll down and click!
- Thanks for submitting your TEFAP report by the 7th of each month. Accurate and on-time client statistics and inventory keep the TEFAP program running smoothly.
Nondiscrimination Statement
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
3. email:
program.intake@usda.gov
This institution is an equal opportunity provider.
TEFAP PACKETS
2022 3rd Quarter: July, August, September
Complete TEFAP Packet
TEFAP REFERENCE DOCUMENTS
TEFAP Client Intake Forms FY 2022
MANNA FoodBank TEFAP Agreement
NCDA TEFAP handbook
FNS 113-1 Civil Rights Compliance
FD-036 Record Keeping Requirements
FD-107, Food Storage and Product Dating
FD-141: Equal Opportunity for Religious Organizations
FD-146 Q&A on the Distribution Process
FD-149 COVID-19 Q&A
USDA Complaint Procedure & Form
Client Complaint Procedure & Form
What is TEFAP?
Temperature log
Whistleblower poster
TEFAP Agency Eligibility Requirements
If your agency needs TEFAP documents translated into other languages, please fill out this request to the TEFAP Coordinator. Some mistranslations or grammatical errors may be present in translated materials.
TEFAP Document Translation Request
REQUIRED TEFAP SIGNS

This And Justice for All’ form AD-475-A must be displayed at your agency. If you need one, please contact the TEFAP Coordinator or your Zone Coordinator.
You may qualify! Ask about TEFAP!
No ID
Notice of Beneficiary Rights
CIVIL RIGHTS TRAINING
Civil Rights Training PDF (26 pages)
Civil Rights Training Video (12 minutes)
Civil Rights Training attendance form.
EFFECTIVE PUBLIC NOTIFICATION
One of the requirements of the TEFAP program is that agencies provide public notification that TEFAP food is available at their distributions. This should be a combination of the ‘TEFAP available here’ sign, posted hours on the front door, and on the internet.
If an agency advertises their food pantry or the TEFAP program on their website or Facebook page, please include the following:
1) TEFAP is available at our pantry.
2) Clients can receive TEFAP on this day at this time.
3) No ID or other documentation is required to receive TEFAP.
Number 3 is especially important if your pantry does require ID or any other documentation for clients to receive non-TEFAP food or services.