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Resources

Access Forms for TEFAP Attestation, delivery feedback and more.

TEFAP Attestation

Members that distribute USDA (TEFAP) foods for home consumption are responsible for collecting a TEFAP Attestation form for each client annually or more often if the client’s information for the form has changed. Note: This does not apply to meal programs.

  • TEFAP Attestation Form (English)

  • Arabic (العربية)
  • Bangla (বাংলা
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  • Appendix (All Languages)

  • Polish (Polski‎)
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  • English (Download for fillable PDF)
  • Spanish
  • Spanish (Download for fillable PDF)
  • Arabic
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TEFAP Written Notice of Beneficiary Rights

  • Arabic (العربية)
  • Bangla (বাংলা
  • English 
  • French (Français)
  • Haitian-Creole (Kreyòl Ayisyen)
  • Italian (Italiano)
  • Korean (한국어‎)
  • Pashto (پښتو)
  • Polish (Polski‎)
  • Russian (Русский)
  • Simplified Chinese (简体中文)
  • Spanish (Español)
  • Traditional Chinese (繁體中文)
  • Ukrainian (Українська)
  • Urdu (اُردُو)
  • Yiddish (ייִדיש)

Other Forms

  • Pallet, Box, and Tote Pickup Request
  • Delivery Feedback
  • Order Issue
  • Program Information Update Form

CONTACT US

Call: (585) 328-3380
Email: [email protected]

2011 Mt. Read Blvd.
Rochester, NY 14615

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