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.
Question | Answer |
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Form Name | Form H1535 At |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | texas form meal count, h1535, meal sheet form h1535 2016 download, h1535 at daily meal count at |
Texas Department of |
Daily Meal Count and Attendance Record |
Form |
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Agriculture |
January 2011 |
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Name of Contracting Organization
Name of Facility
Program No. (TX No.)
TX |
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Date (mm/dd/yyyy)
Participant’s Name |
Age |
Breakfast |
Lunch |
Snack |
Supper |
Participant’s Name |
Age |
Breakfast |
Lunch |
Snack |
Supper |
1 |
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24 |
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3 |
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26 |
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4 |
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27 |
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5 |
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28 |
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6 |
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29 |
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7 |
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8 |
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31 |
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9 |
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32 |
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10 |
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15 |
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20 |
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Total breakfasts: |
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Total snack: |
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Total |
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Total lunches: |
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Total supper: |
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Total Program Meals: |
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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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knowledge and that I will claim reimbursement only for eligible meals served to |
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of |
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eligible participants. I understand that misrepresentation may result in prosecution |
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