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Get H1535 2011-2024

Form H1535-AT Instructions Daily Meal Count and Attendance Record At-Risk Snacks and Meals 01-2011 PURPOSE To document daily attendance and snacks/meals served to program participants. The independent center keeps the original for their records. How to Obtain Copies Make additional copies as needed or download Form H1535-AT by accessing the Texas Department of Agriculture TDA website at www. This is a mandatory form. You must receive approval before using an alternate Form H1535-AT. Name of Contracting Organization Enter the name of the contracting organization. Name of Facility Enter the name of the at-risk afterschool care center. PROCEDURE When to Prepare Complete participants name daily as they arrive this is equivalent to attendance. Complete meal counts at the point of service. The point of service is where you have observed that a program participant received a creditable snack/meal* Number of Copies If the at-risk afterschool care center is sponsored complete an original and one copy. If the center is independent complete one original* Transmittal The sponsored at-risk afterschool care center submits the original to the sponsor and keeps the copy for their records. snptexas. org. Form Retention Exception If audit findings claims or litigation have not been resolved by the end of the retention period all forms and records must be retained until all issues are resolved* DETAILED INSTRUCTIONS If completing the form manually the form must be completed in ink or other non-erasable print* Any changes must be initialed and dated by the person making the change. ability to print on demand. In addition the form must be printed upon completion signed and dated by the at-risk afterschool care center representative and retained in the program files. Program TX No* Enter the contracting organization s seven-digit program TX number. Date Enter the date for which attendance and meal counts are being recorded* Participant s Name Enter the first and last name of each program participant as they arrive at the facility. Participant s Age Enter the age of the program participant. Breakfast Lunch Snack Supper Place an X in the box to indicate each meal served to each program participant on that day. You must take the snack/meal count at the point of service. The point of service is when you observe that a creditable snack/meal is served to a program participant. Note You may only claim one snack and one meal per program participant per day. Totals Enter the totals for each corresponding column* Certification A center or emergency shelter representative must sign in the space provided to certify that the completed information is true and correct and that they will claim reimbursement only for eligible meals served to eligible participants. Date The center or emergency shelter representative signing the form must enter their date of signature. PROCEDURE When to Prepare Complete participants name daily as they arrive this is equivalent to attendance. Complete meal counts at the point of service. The point of service is where you have observed that a program participant received a creditable snack/meal* Number of Copies If the at-risk afterschool care center is sponsored complete an original and one copy.

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