United States Department of Agriculture (USDA) Foods Complaint Form
Sponsors will complete this form if USDA Foods received are not fit for consumption. The vendor/manufacturer must be contacted prior to completing this form if the issue pertains to the quality of the product (mold, foul odor, foreign objects). Deliveries that have issues with packaging (dented cans, torn bags, crushed boxes) should be rejected at delivery. This form must be completed if the damage was not noticed at the time of the delivery.
This form will be used to track complaints pertaining to USDA Foods (Commodities). Entitlement will be reimbursed where applicable.
1. Sponsor ID Number: The ten digit identification number assigned to the sponsor in Cyber Linked Interactive Child Nutrition System (CLiCS). This can be found in the upper-right hand corner after logging into CLiCS 1.
2. Sponsor Name: The name of the school district associated with the Sponsor ID. This can be found under the Sponsor ID in the upper-right hand corner after logging into CLiCS 1.
3. USDA Foods ID: The six digit number of the food received. This may also be referred to as a Commodity ID. Example, 100208.
4. USDA Foods Description: The name of the food received. Example, Applesauce Can-6/No10.
5. Describe in detail the issue/complaint: A detailed description of the issue with the food received. Examples; three cans of applesauce were dented upon delivery, twenty pounds of hamburger was discarded due to a rancid smell.
6. Number of cases affected by the issue (only report full case quantities): The total number of full cases that could not be utilized.
7. Date(s) the affected case(s) arrived at the school: The date that the food was delivered to the school.
8. USDA Foods Distributor who delivered the cases: The distributor that delivered the affected food.
9. Who was the supplier listed on the label (if any): The name of the supplier/producer of the food. Example, Pacific Coast Producers.
10. Brand name of the USDA Food: The brand name of the food. Example, SnoKist.
11. If a supplier was listed, did the sponsor directly contact them: Did the sponsor contact the supplier? Sponsors are encouraged to contact the supplier if the issue pertains to the quality of the food; mold, foul odor, foreign objects, etc.
12. If yes, describe the outcome of the contact and the date contacted: Was the issue resolved, is the vendor replacing the product.
13. Are pictures attached: Take pictures of affected portion of the product and send them with the complaint.
14. Any other information not listed: Include any other information not covered in previous questions.
Access the USDA Foods Complaint Form