Language
  • English (US)
  •  

      Texas Department of Agriculture
      USDA Foods
      Last Updated: 10/26/2021

     

    Authorization to Transfer USDA Foods

    Form H4529

  • Form Instructions: Click here

    Auto-Complete Instructions:

    This form uses dynamic drop-down and auto-complete Fields.

    1. You can use the drop-down fields to locate the name of the CE and the CE ID or the USDA Food Material Number. 
    2. Enter the CE ID in the auto-complete fields. Enter leading zeroes as shown. Click on the auto-complete button and the corresponding fields will be completed. 

    Please note -- Do NOT include the # sign when entering CE IDs and USDA Material Numbers. CE IDs must must have all 5 digits, including leading zeroes.

  • Page Instructions:

    TRANSFERRING CE initially completes and submit the form FIRST (complete questions A-D, Sections 1-3 and click submit).

    RECEIVING CE - Must change Question "A" radio button to "Receiving CE," then proceed to review information completed by Transferring CE. Check the boxes 3.13 and 3.14 and submit.

    NSLP STATE-CONTRACTED WAREHOUSE - Must change Question "A" radio button to "NSLP State-Contracted Warehouse." Proceed to review all information and complete section 4 "NSLP Warehouse Certification" and submit.

  •  - -
    Pick a Date
  • 1. Transferring CE Information

  • Page Instructions: 

    • Transferring CEs: Complete all fields. 
    • Receiving CEs/NSLP Warehouse: Review all selections.
  • 2. Receiving CE Information

  • Page Instructions:

    • Transferring CEs: Complete all fields using the Receiving CE Lookup. Enter the Receiving CE ID into field 2.1 and autofill Receiving CE contact information. Copy this information into the Authorized Representative fields or complete the Authorized Representative fields with another Receiving CE contact.
    • Receiving CEs/NSLP Warehouse: Review all selections.
  • *Only the Authorized Representative will be notified of this transfer.

  • 3. USDA Foods for Transfer

  • Page Instructions:

    *For NSLP transfers ONLY - TDA will complete the Date Received at Warehouse field(s).

    • Transferring CEs: Complete all fields using the USDA Material Number Lookup dropdown fields to locate the Material Description and the USDA Item Number. Complete the required Transferring CE confirmation statement(s) at bottom of page. If transferring more than 10 items, you will need to complete an additional form. 
    • Receiving CEs: Review all fields for accuracy. Complete the required Receiving CE confirmation statement(s) at bottom of page.
    • NSLP Warehouse Representatives: Review all fields for accuracy, inventory availability, and inventory quality. Review Transferring CE and Receiving CE confirmation statements are complete.
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  •  - -
    Pick a Date
  • 4. NSLP Warehouse Certification

    State-contracted Warehouse Use Only - Transferring/Receiving CEs click Next.
  • Page Instructions: Complete all fields. Comment field (4.3) will notify TDA only of why a transfer is not approved (inventory shortages, etc). *Only the Warehouse Representative designated on this page will be notified of the transfer's final approval status.

  •  
  • 5. TDA Approval

    TDA Use Only
  •  - -
    Pick a Date
  • Thank you for completing Form H4529. You will receive a confirmation email when the transfer is finalized.

  • Should be Empty: