The Emergency Food Assistance Program (TEFAP) for Service Provider Partners

Last Updated 06/14/18

Our Service Provider Partners are an integral part of The Emergency Food Assistance Program (TEFAP).  The Office of Community Services (OCS) has created standardized State of Hawaii TEFAP forms to assist our partners.  In accordance with “The Emergency Food Assistance Program Distribution Plan for the State of Hawaii”, OCS will post and update these  forms on our website for easy access.  For further information or assistance, please contact your OCS Program Specialist.

Regulations/State Plan – Listed below are regulations, policies, the State Plan in addition to agency specific contract that govern TEFAP:

• 7 CFR 250
• 7 CFR 251
• USDA/FNS – TEFAP Policy
• TEFAP State of Hawaii Distribution Plan

EFO-Only Forms:

• Fiscal Report – Form 300
• TEFAP Progress Report Form

Forms for All Agencies

• USDA Civil Rights Training Log
• TEFAP Commodity Distribution Form
• TEFAP Commodity Loss Form
• TEFAP Commodity Self Review Form
• TEFAP Income Eligibility Guideline
• TEFAP Notice of Beneficiary Referral Request
• TEFAP Self-Declaration of Need/Proxy Form
• Written Notice of Beneficiary Rights

Civil Rights Training Presentation

• Civil Rights Training for Management/Leadership
• Civil Rights Training for Frontline Staff/Volunteers

Forms to Monitor Agencies

• EFO Pre-Monitoring Form
• EFO Monitoring Review Form
• Supporting ERA Monitoring Review Form