TEFAP Forms/Reports

Please select a form to download.

Soup Kitchen Report (Excel)         

Please send to: TEFAPREPORTS@LAFOODBANK.ORG

Notice to the Public-TEFAP   

CIVIL RIGHTS

TEFAP HHP & Inventory Report

English [.xls]

no application required

English    Spanish    Armenian    Chinese    Korean    Vietnamese

no solicitation of funds

English    Spanish    Armenian    Chinese    Korean    Vietnamese

alternate pick-up

English

income guidelines

English & Spanish

Tefap beneficiary referral request

English    Spanish    Armenian    Chinese    Korean    Vietnamese

Tefap beneficiary rights

English    Spanish    Armenian    Chinese    Korean    Vietnamese

Tefap sign-in sheet

English    Spanish    Armenian    Chinese    Korean    Vietnamese

CiviL RIGHTS TRAINING SHEET

English    Spanish

To request the ‘And Justice For All Poster,’ please contact Agency Relations

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.