Unanticipated School Closure Notification Form PY22-23

Unanticipated School Closure Notification Form
TDA recognizes that in any given school year, unanticipated weather events or other disasters may necessitate the closure of schools, preventing the offering of curriculum during the temporary closure. Per regulation, schools are permitted to serve children via the Seamless Summer Option (SSO)(preferred) or the Summer Food Service Program (SFSP) between the months of October and April if there is an unanticipated school closure. Note that for the school to be considered closed under this guidance, no instruction of any kind should be offered during he closure.

Additionally, for this school year only through April 30, USDA has issued waivers allowing area eligible schools to serve non-congregate meals via SSO or SFSP during a school closure, and allowing service at a closed school site location. Because TDA is required to report on the usage of this waiver, and to facilitate claiming and Administrative Reviews, TDA requests that any CE experienceing an unanticipated school closure in its district submit this notification form.

Note: All area eligibility requirements remain in effect. Sites not listed on the 2022-2023 School Data for Area Eligibility report (posted on SquareMeals and in TX-UNPS Download Forms), or not in the attendance zone of a listed school, are not eligible to operate a summer program during an unanticipated school closure.
1. Select the Program in which you are serving and claiming breakfast and lunch meals as of 9/30/2021:*

Seamless Summer Option (SSO)Summer Food Service Program (SFSP)
·         A PY 2022-2023 SSO application must be submitted in TX-UNPS to TDA to operate SSO during unanticipated school closures.

·         If the CE has not previously operated SSO, then form SNP-005, Permanent Agreement Contracting Entity Specific Amendment must be completed and submitted to TDA via email: NSLP-SBP.bops@TexasAgriculture.gov. The form is located in TX-UNPS under the application tab, download forms.

·         The CE is responsible for ensuring information submitted in the PY 2022-2023 SSO application aligns with information submitted in Questions #2-#8 in this form, as incorrect information may delay reimbursement claims.

·         The CE must return to serving breakfast and lunch under SBP/NSLP once the CE and/or site reopens.
·         A PY 2023 SFSP application, with applicable site applications, must be submitted in TX-UNPS and approved prior to serving SFSP meals during unanticipated school closures.

·         The CE is responsible for ensuring information submitted in the PY 2022-2023 SFSP application, including meal service times, aligns with information submitted in Questions #2-#8 in this form, as incorrect information may delay reimbursement claims.

·         The CE must return to serving breakfast and lunch under SBP/NSLP once the CE and/or site reopens.
2. Is this a district-wide closure during which all schools in your district are not providing curriculum?

YesNo
3. Enter the name of the school(s) and site ID(s) for the school(s) that closed (no curriculum offered, including virtual instruction):
4. Please list the reason for the unanticipated school closure:

Damage to building not related to weather (for example, fire)Weather-related event (flooding, ice, tornado, hurricane)Illness outbreakOther (please provide brief description)
5. List the dates the school(s) was/were closed.
5. Beginning Date

MonthDayYear
Date
5. End Date

MonthDayYear
Date
6. List the dates of service during the unanticipated school closure.
6. Beginning Date

MonthDayYear
Date
6. End Date

MonthDayYear
Date
7. Are the serving sites at or in the attendance zone of an area eligible school (per the 2022-2023 School Data for Area Eligibility Report - see link in instructions)?

YesNo
Summer feeding is not permitted at any site that is not area eligible.
8. Were any meals distributed at closed school sites?

YesNo
9. During the closure, did you operate a closed enrolled site(s), open site(s), or both?

Closed EnrolledOpenBoth
10. Did you operate non-congregate service during the unanticipated school closure?

YesNo
11. Please indicate the method of non-congregate service used during the unanticipated school closure (select all that apply)

Curbside Grab and GoHome DeliveryParent Pick-upMulti-day meal bundling (note that meals cannot be distributed for weekend consumption)
Contracting Entity (CE) Name:*
Enter name as displayed in the TX-UNPS application.
CE Identification (ID):*
Enter the 5-digit number from the TX-UNPS application and claims.
Attestation Statement
Check that each of the following statements is true:*

I am an Authorized Representative (AR) of the Contracting Entity (CE) listed on the "FND-101, CERTIFICATE of AUTHORITY for EXTERNAL USERS" of "FND-135, USER ACCESS MANAGER FORM" that has been approved by TDA prior to this submission of this waiver notification.I certify that the CE has retained documentation related to the information submitted in this request for all meals served and claimed under this request.I understand that it is the CE's RESPONSIBILITY TO IMPLEMENT THIS WAIVER IN COMPLIANCE WITH ALL APPLICABLE REGULATIONS and that NON-COMPLIANCE MAY RESULT IN ADVERSE AND/OR FISCAL ACTION.I am employed by the CE named on this waiver. I am not an employee of a Food Service Management Company (FSMC)
Enter the name of Authorized Representative*

First NameLast Name
Each party acknowledges and agrees that information in this form is attested to by the name entered in the field above and shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.

After the form is submitted, you will receive a confirmation email message with a copy of your submitted response. Please save the email for your records.
Contact Name*

First NameLast Name
Contact Position/Role

SuperintendentChild Nutrition DirectorAdministratorDietitianManager/SupervisorAuthorized IndividualOther
Contact Email:*
example@example.com
Contact Phone*
Please enter a valid phone number.
Should be Empty: