Food Distribution Program
Recipient Agency Information Sheet Instructions |
The Recipient Agency Information Sheet provides contact information needed to initiate the food distribution process. This form must be filled out and the information certified prior to ordering any commodities. It is critical that this form be completed and checked for accuracy annually. Throughout the school year whenever any information changes, it is the responsibility of the Recipient Agency to revise, certify, and resubmit the information sheet.
• Mailing Address (lines 1-5) – This is the address where regular mail deliveries are made.
• Street Address (lines 6-10) – This is the address where bulk mail deliveries such as UPS and FEDEX are made. DO NOT USE A P.O. BOX.
• FDP Contact (lines 11-17) – This is the business information for the lead R/A contact or the person designated as the primary contact. Please double check the e-mail address to assure accuracy. Important e-mail messages will be sent to this person.
• Alternate Contact (lines 18-24) – This is the business information for the back- up R/A contact person. It is important that this information is accurate in case the primary contact person cannot be reached. Please double check the e-mail address to assure accuracy. Important e-mail messages will be sent to this contact person also.
• Recipient Agency Program Information (line 25) – This section provides the State Agency with information about R/A participation in the other Child Nutrition Programs. Please check all that apply.
• For Charitable Institutions Only
(lines 26-29) – NSLP Sponsors should skip this section. Complete
this section only if it applies to your agency
specifically.
• Comments (line 30) – This section
is provided for additional information specific to this document.
Please be brief and use complete sentences. This space may be used
by the R/A or S/A.
• Verification (line 31) – This section is very important. Checking this box indicates an electronic signature of the R/A, certifying that all the above information is correct. This step must be completed prior to placing commodity orders. If this box is not checked prior to clicking the “submit” button at the bottom of the page, the information will only be saved and not officially certified. If you have checked the certification box and submitted the document it will have a status of “Pending Approval”. If you have not certified and submitted the document, it will still have a status of “Pending Submission”.