The commodity supplemental food program



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06/2014

The commodity supplemental food program (csfP)

Management Evaluation (ME) Form

State Agency: ___________________________________


Review Date(s): ___________________________________
Reviewers: ___________________________________
___________________________________

TABLE OF CONTENTS


Materials to Request and Review in Advance 3

Staffing Standards and State Agency Administration 4-6

Local Agency Selection and Termination 7-8

Program Statistics/Caseload Management 9

State Plan 10


Worksheet #1 – State Plan 11

Agreements/Contracts 12

Worksheet #2 – State Agency/Local Agency Agreements 13


Worksheet #3 – Storage Facility Contract 14

Worksheet #4 – Carrier Contract 15


Notification by Local Agencies 16-17


Certification 18-20

Worksheet #5 – Application Form 21-22

Worksheet #6 – Applicants Rights and Responsibilities 23

Worksheet #7 – Other Public Assistance Programs 24

Dual Participation and Program Violations 25-26

Nutrition Education 27

Management Reviews 28

Food Ordering and Inventory Management 29-31

Holds and Recalls 32

USDA Foods Distribution 33

Reports and Recordkeeping 34-35

Financial Management 36-38

Worksheet #8 – Administrative Funding 39

Audits 40

Claims 41-43

Civil Rights 44-45


MATERIALS TO REQUEST AND REVIEW IN ADVANCE





Material

Action

Review Section

State Plan

Review copy on file

State Plan:

Questions 1-4;

Worksheet #1


Policy and Procedures Manual

Request from State

All sections as applicable

Review Schedule

Request from State

Management Reviews:

Questions 1, 3, 6



Review Forms

Request from State

Management Reviews:

Question 2



Warehouse and Distribution Contracts

Request from State

Agreements/Contracts

Question 4, 5, 6;

Worksheets #3 & #4


State agency/Local agency agreements

Request from State

Agreements/Contracts:

Questions 2, 3;

Worksheet #2


Local agency application

Request from State

Local Agency Selection and Termination:

Question 2



All local agency certification forms and notices

Request from State

Notification by Local Agencies; Certification

FNS-153 Reports and Inventory Calculators

Download from FPRS; Review latest calculator on file

Food Ordering and Inventory Management:

Questions 7, 8, 9



SF-425A Report and Statement of Account

Download from FPRS; Request from Regional Financial Management Office (if available)

Reports and Recordkeeping, SF269A/SF-425 Report:

Question 1;



Financial Management, Financial Recordkeeping/Reporting:

Question 4



FNS-191

Download from FPRS

Reports and Recordkeeping, FNS-191 Report:

Questions 1, 2



WBSCM Multi-Food and Direct Shipment Receipt and Order Reports

Download from WBSCM

Food Ordering and Inventory Management:

Question 4, 10, 11



Previous ME Reports

Review copies on file

All sections as applicable


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