Form H1535 At PDF Details

The H1535 At form is an essential document used by the Texas Department of Agriculture, particularly within the context of recording daily meal counts and attendance in at-risk afterschool care programs. Issued in January 2011, this form is designed to streamline the process of documenting the important details of meal distribution, including breakfast, lunch, snack, and supper, to participants of these programs. By requiring the name of the contracting organization, name of the facility, program number, and specific participant details including age and meals received, the form serves not just as a record for compliance and monitoring, but also as a tool for ensuring that meal services are properly accounted for and reimbursed. The form also includes a section for the representative to certify the accuracy of the information provided with a signature, thereby underscoring the seriousness with which these records are to be maintained. Through gathering total counts of each meal type and distinguishing between program and non-program meals, the H1535 At form plays a crucial role in the operation and oversight of at-risk afterschool care centers across Texas, ensuring that children in these programs receive the nutrition they need. It also highlights an understanding that misrepresentation of information may lead to prosecution, reinforcing the importance of accuracy and honesty in the management of these programs.

QuestionAnswer
Form NameForm H1535 At
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestexas form meal count, h1535, meal sheet form h1535 2016 download, h1535 at daily meal count at

Form Preview Example

Texas Department of

Daily Meal Count and Attendance Record

Form H1535-AT

Agriculture

January 2011

 

(At-Risk)

Name of Contracting Organization

Name of Facility

Program No. (TX No.)

TX

 

 

 

Date (mm/dd/yyyy)

Participant’s Name

Age

Breakfast

Lunch

Snack

Supper

Participant’s Name

Age

Breakfast

Lunch

Snack

Supper

1

 

 

 

 

 

24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Total breakfasts:

 

Total snack:

 

 

Total Non-Program Meals:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total lunches:

 

Total supper:

 

 

Total Program Meals:

 

 

 

 

 

 

 

I certify that the information on this form is true and correct to the best of my

 

 

 

 

 

 

 

 

knowledge and that I will claim reimbursement only for eligible meals served to

 

 

 

 

 

 

Page

 

of

eligible participants. I understand that misrepresentation may result in prosecution

Signature—At-Risk Afterschool Care Center Representative

 

Date