In March 2007, the Texas Department of Agriculture introduced the H1535 form, a vital document for centers and emergency shelters aiming to manage their daily meal count and attendance records meticulously. Tailored for the specific needs of these organizations, the form serves as a foundation for claiming meal reimbursements, ensuring that the services provided to participants are both accountable and verifiable. It distinguishes between centers, eligible to claim up to two meals and one snack or one meal and two snacks per day, and emergency shelters, which can claim up to three meals or two meals and one snack. Crucial information such as the name of the contracting organization, facility, program number (TX No.), along with detailed records of participant’s name, age, and meals (breakfast, lunch, and snacks) provided on each day of operation, underscores the form's comprehensiveness. Additionally, it collects data on the total number of program participants, staff meals, and non-program meals, culminating in a certification by the center or emergency shelter representative that all provided information is accurate and truthful. This certification underpins the integrity of the claim process, with a clear admonition that any misrepresentation may lead to prosecution under applicable state or federal statutes, highlighting the form's role not just in meal tracking and reimbursement, but also in ensuring ethical compliance.
Question | Answer |
---|---|
Form Name | Form H1535 |
Form Length | 13 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 3 min 15 sec |
Other names | department of agriculture form h1535, form h1535 march 2007, h1535 at, form h1535 |
Texas Department of |
Daily Meal Count and Attendance Record |
Form H1535 |
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Agriculture |
March 2007 |
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(Centers and Emergency Shelters)
Name of Contracting Organization
Name of Facility
Program No. (TX No.)
TX |
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Month and Year
Centers: You may claim up to two meals and one snack or one meal and two snacks. Emergency Shelters: You may claim up to three meals or two meals and one snack.
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Total Number of |
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Program Participants |
P |
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Total Number of Program Staff Meals |
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Total Number of |
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I certify that the information on this form is true and correct to the best of my |
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Page |
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of |
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knowledge and that I will claim reimbursement only for eligible meals served to |
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Date |
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eligible participants. I understand that misrepresentation may result in prosecution |
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under applicable state or federal statutes.