Forms
Pantry Bill of Rights
1. The pantry has the right to verbally request information on the Houston Food
Bank intake form or via computer using a web-based intake application.
2. The pantry has the right to determine its own hours of operation and service
guidelines if availability to clients is a priority and all clients are served equally
and within the USDA and TDA guidelines. Service guidelines and hours of
operation should be clearly posted for clients to see.
3. The pantry has the right to refuse services to a client only if:
• The client is creating a stressful environment for other clients, staff, or
volunteers
• The client is belligerent and disrespectful to other clients, staff, or
volunteers
• The client is posing a safety threat to other clients
• The client is requesting food services above and beyond which all other
clients are receiving
• All refusals must be documented
Complaints or concerns?
Please call the Houston Food Bank with any complaints or concerns you have
about this Houston Food Bank partner at 713-547-8668
Houston Food Bank Partner Guidebook | 3
Pantry Bill of Rights Spanish
1. La despensa tiene el derecho de solicitar verbalmente información en el
formulario de ingreso del Banco de Alimentos de Houston o por computadora
utilizando una aplicación de ingreso basada en la web.
2. La despensa tiene el derecho de determinar sus propias horas de operación
y pautas de servicio si la disponibilidad para los clientes es una prioridad y
todos los clientes reciben el mismo servicio y se encuentran dentro de las
pautas de USDA y TDA. Las pautas de servicio y las horas de operación
deben estar claramente publicadas para que los clientes las vean.
3. La despensa tiene el derecho de rechazar los servicios a un cliente solo si:
El cliente está creando un ambiente estresante para otros clientes, personal o
voluntarios
El cliente está planteando una amenaza de seguridad para otros clientes
El cliente está planteando una amenaza de seguridad para otros clientes
El cliente está solicitando servicios de comida más allá de lo que todos los
demás clientes están recibiendo
Todas las negativas deben ser documentadas
¿Quejas o inquietudes? Llame al Banco de Alimentos de Houston si tiene alguna queja
o inquietud sobre este socio del Banco de Alimentos de Houston al 713-547-8668
Houston Food Bank Partner Guidebook | 4
Houston Food Bank Partner Guidebook | 5
Client Bill of Rights
Houston Food Bank Partner Guidebook | 6
Client Bill of Rights Spanish
Houston Food Bank Partner Guidebook | 7
TEFAP Participants Rights,
Obligations, and Fair Hearing
Request- English and Spanish
(following 2 pages)
Houston Food Bank Partner Guidebook | 8
Houston Food Bank Partner Guidebook | 9
Houston Food Bank Partner Guidebook | 10
TEFAP Written Notice of Beneficiary
Rights (following page)
Houston Food Bank Partner Guidebook | 11
The Emergency Food Assistance Program
Written Notice of Beneficiary Rights
Name of Organization
__________________________________________________________
Name of TEFAP Staff Contact
___________________________________________________
Phone Number ______________________
Email Address_________________________
You have the following rights when you participate in TEFAP.
1. We may not discriminate against you on the basis of religion or religious belief; a refusal
to hold a religious belief; or a refusal to attend or participate in a religious practice.
2. We may not require you to attend or participate in any explicitly religious activities that
we offer. Your participation in these activities must be purely voluntary.
3. We must separate, in time or location, any privately funded, explicitly religious activities
from activities supported with USDA direct assistance.
4. If you object to the religious character of our organization, we must make reasonable
efforts to identify and refer you to an alternate provider to which you have no objection.
We cannot guarantee, however, that in every instance, an alternate provider will be
available.
5. You may report violations of these protections (including denials of services or benefits)
to TDA at www.Squaremeals.org.
Contact TDA at: Commodity Operations 877-TEX-MEAL (877-839-6325)
CommodityOperations@TexasAgriculture.gov
Federal regulations require this written notice before participants receive TEFAP services.
This institution is an equal opportunity provider.
Houston Food Bank Partner Guidebook | 12
TEXCAP/USDA Commodities
Inventory (following page)
Houston Food Bank Partner Guidebook | 13
Name of Partner: _____________________________________ Month / Year: _________________________
Houston Food Bank Partner Guidebook | 14
Location of Refrigerator/Freezer: ______________________________________________________________
Pantry – Minimum once a week
Meal Site (food prepared onsite) – Monitor daily
Indicate the temperature of each unit in the space provided and initial where indicated.
Day
Fridge 1
Fridge 2
Fridge 3
Freez 1
Freez 2
Freez 3
Pantry
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Houston Food Bank
Fridge and Freezer Log
Houston Food Bank Partner Guidebook | 15
REFRIGERATORS MUST BE
40 DEGREES F OR BELOW
FREEZERS MUST BE
ZERO DEGREES F OR BELOW
If units cannot maintain these temperatures, units should be serviced.
