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Food Distribution

Forms To Download

These forms are available to view by clicking on the name of the form. They can be viewed or downloaded to your computer for printing if you have Adobe Acrobat Reader installed. Adobe provides this software free by downloading it from its web site. Click on the software name if you need it and follow the easy instructions for your hardware system and operating software. Remember to register the software while at the Adobe Web site.

We are not currently set up to receive forms filled out electronically online. Please call, fax or use the mail/courier Address to correspond with us. The purpose of each form is briefly described after the title of the form.

Over, Short Or Damaged Form

Agency Agreement
Outlines the Virginia Department of Agriculture and Consumer Services (VDACS) Food Distribution Office's and receiving organization's responsibilities concerning USDA-donated foods for public and private schools.

Civil Rights Complaint Form
To record any complaints about discrimination in the distribution of USDA foods.

Distributor Contract Price List
These are the per case fees charged by the distributors under contract to deliver USDA foods in each region of Virginia. Public schools should be prepared to pay the full per case fee if VDOE is not able to continue this fund diversion in the future.

Distributor Contract (General Terms Section)
Here are the general requirements common to the current VDACS commercial distributor contracts. Recipient agencies can review exactly what services their distributor is required to provide and potential distributors can review the information to determine interest and qualifications to bid.

School Year End Confirmation

State Participation Agreement (SPA)

Rehabilitation Self Certification

For a complete listing of VDACS forms available on the Internet visit the main forms page.

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