Form FNS-7 Destination Data for Delivery of Donated Foods

Form FNS-7 or the "Destination Data For Delivery Of Donated Foods" is a form issued by the U.S. Department of Agriculture - Food and Nutrition Service.

Download a fillable PDF version of the Form FNS-7 down below or find it on the U.S. Department of Agriculture - Food and Nutrition Service Forms website.

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OMB APPROVED NO. 0584-0293
Expiration Date: 11/30/2019
TYPE OF ACTION
U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE
DESTINATION DATA FOR DELIVERY OF
NEW SHIP-TO
CHANGE / UPDATE
DONATED FOODS
NEW HQ RECEIVER
INACTIVATE
FNS Instruction 709-5
SEE INSTRUCTIONS ON REVERSE
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,
to: U.S. Department of Agriculture, Food and Nutrition Services, Office of Policy Support (0584-0293), Alexandria, VA 22302. Do not return the completed form to this address.
SECTION A: SHIP-TO
1. COMPANY NAME
2. STREET ADDRESS (Number, Name)
3. CITY
4. STATE
5. ZIP CODE
6. BUSINESS PARTNER ID (Existing
9. CARE OF/DBA
10. SDA BP ID
7. CONTACT EMAIL (optional)
8. CONTACT NUMBERS (delivery)
Business Partners)
NAME (
)
(Map To)
if applicable
PRIMARY
ALTERNATE
PRIMARY:
PHONE:
ALTERNATE:
FAX:
11.
ADD TO HQ RECEIVER
12.
REMOVE RELATIONSHIP (SDA use only)
EXPLANATION OF NEED FOR THE RESTRICTION SHOWN
13. SHIP BY (Shipment may be made by rail or truck
unless one of the following is checked)
RAIL ONLY
TRUCK ONLY
LIMITATIONS
SECTION B: NEW HQ RECEIVER
14. COMPANY NAME
15. STREET ADDRESS (Number, Name)
16. CITY
17. STATE
18. ZIP CODE
19.
20. NAME (First, Last)
21. EMAIL
22. PHONE
ADD HQ RECEIVER WBSCM
USER (COMPLETE 20-22)
23. DELIVERY LOCATIONS (if applicable)
BP ID (List existing Ship-To that will be mapped to this HQ Receiver)
NEW SHIP-TO
Attach a list of new Ship-To to this form. (Include Street Address, City, State, Zip Code)
SECTION C: TYPE OF WAREHOUSE (OPTIONAL SECTION 24-28)
24A. TYPE OF WAREHOUSE
25. TYPE OF PROCESSOR
26. RELATIONSHIP TO NATIONAL WAREHOUSE
NATIONAL WAREHOUSE RECEIVING
STATE OWNED AND OPERATED
COMMERCIAL
SINGLE PROCESSOR
LOCATION
24B. IF COMMERCIAL WAREHOUSE DELIVERY ACCEPTABLE BY
NATIONAL PROCESSOR
TRANSFER OF TITLE
LOCAL PICKUP
OTHER
27. TYPE(S) OF STORAGE PROVIDED
28. HANDLING OF PERISHABLE FOODS
(Check one)
DRY
REFRIGERATED
FREEZER
SHIPMENT ALWAYS ENTIRELY UNLOADED AND PLACED IN STORAGE
PART OF SHIPMENT ALWAYS OR SOMETIMES DISTRIBUTED FROM CAR OR
WAREHOUSE PLATFORM
The above information is true and correct to the best of my knowledge and belief.
29. DATE
30. SIGNATURE OF BUSINESS PARTNER REPRESENTATIVE
EMAIL a copy to
WBSCM-Ship-To@fns.usda.gov
SBU
FORM FNS-7 (04-14) Previous Editions Obsolete
Electronic Form Version Designed in Adobe 10.0 Version
OMB APPROVED NO. 0584-0293
Expiration Date: 11/30/2019
TYPE OF ACTION
U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE
DESTINATION DATA FOR DELIVERY OF
NEW SHIP-TO
CHANGE / UPDATE
DONATED FOODS
NEW HQ RECEIVER
INACTIVATE
FNS Instruction 709-5
SEE INSTRUCTIONS ON REVERSE
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,
to: U.S. Department of Agriculture, Food and Nutrition Services, Office of Policy Support (0584-0293), Alexandria, VA 22302. Do not return the completed form to this address.
SECTION A: SHIP-TO
1. COMPANY NAME
2. STREET ADDRESS (Number, Name)
3. CITY
4. STATE
5. ZIP CODE
6. BUSINESS PARTNER ID (Existing
9. CARE OF/DBA
10. SDA BP ID
7. CONTACT EMAIL (optional)
8. CONTACT NUMBERS (delivery)
Business Partners)
NAME (
)
(Map To)
if applicable
PRIMARY
ALTERNATE
PRIMARY:
PHONE:
ALTERNATE:
FAX:
11.
ADD TO HQ RECEIVER
12.
REMOVE RELATIONSHIP (SDA use only)
EXPLANATION OF NEED FOR THE RESTRICTION SHOWN
13. SHIP BY (Shipment may be made by rail or truck
unless one of the following is checked)
RAIL ONLY
TRUCK ONLY
LIMITATIONS
SECTION B: NEW HQ RECEIVER
14. COMPANY NAME
15. STREET ADDRESS (Number, Name)
16. CITY
17. STATE
18. ZIP CODE
19.
20. NAME (First, Last)
21. EMAIL
22. PHONE
ADD HQ RECEIVER WBSCM
USER (COMPLETE 20-22)
23. DELIVERY LOCATIONS (if applicable)
BP ID (List existing Ship-To that will be mapped to this HQ Receiver)
NEW SHIP-TO
Attach a list of new Ship-To to this form. (Include Street Address, City, State, Zip Code)
SECTION C: TYPE OF WAREHOUSE (OPTIONAL SECTION 24-28)
24A. TYPE OF WAREHOUSE
25. TYPE OF PROCESSOR
26. RELATIONSHIP TO NATIONAL WAREHOUSE
NATIONAL WAREHOUSE RECEIVING
STATE OWNED AND OPERATED
COMMERCIAL
SINGLE PROCESSOR
LOCATION
24B. IF COMMERCIAL WAREHOUSE DELIVERY ACCEPTABLE BY
NATIONAL PROCESSOR
TRANSFER OF TITLE
LOCAL PICKUP
OTHER
27. TYPE(S) OF STORAGE PROVIDED
28. HANDLING OF PERISHABLE FOODS
(Check one)
DRY
REFRIGERATED
FREEZER
SHIPMENT ALWAYS ENTIRELY UNLOADED AND PLACED IN STORAGE
PART OF SHIPMENT ALWAYS OR SOMETIMES DISTRIBUTED FROM CAR OR
WAREHOUSE PLATFORM
The above information is true and correct to the best of my knowledge and belief.
29. DATE
30. SIGNATURE OF BUSINESS PARTNER REPRESENTATIVE
EMAIL a copy to
WBSCM-Ship-To@fns.usda.gov
SBU
FORM FNS-7 (04-14) Previous Editions Obsolete
Electronic Form Version Designed in Adobe 10.0 Version
INSTRUCTIONS
13
Check one of the boxes to restrict transportation
It is important that a separate form be prepared for each
options.
destination when delivery conditions require changes in
Section A: Ship-To.
For Rail Delivery - No entry is to be made unless
delivery to a specific location is essential to program
In the "Type of Action" entry, check one box only indicating
operations; e.g., the receiving warehouse is located on
whether the form is to provide data for:
a rail siding. When an entry is necessary, the address
shown shall include the specific location at which the
(1) A NEW SHIP-TO destination: This can be a request for a
car is to be placed for unloading. When reciprocal
delivery location to be created or a request for a delivery
switching is not in effect at the point of delivery, the
location to be linked/mapped to a State Distributing
name of the railroad which serves this location shall be
Agency (SDA)
shown. For example: "Blank's Warehouse, ACL," or
"Industrial siding, PPP." Where reciprocal switching is
(2) A New HQ Receiver: HQ Receivers are a physical
in effect at the point of delivery, no delivering carrier
grouping of Ship-To organizations. One HQ can have
shall be specified. If delivery is to be made on a team
oversight of multiple Ship-To organizations.
track, the name of a specific team track shall not be
shown unless it is essential to program requirements.
(3) Notification of CHANGE/UPDATE in data for an existing
Ship-To. This can be a physical change to the information
For Truck Delivery - Show exact street address for
or to request removal of a Ship-To to SDA relationship.
location at which delivery will be accepted. If same as
for "Rail Delivery," enter "Same as for rail delivery."
(4) INACTIVATE of a Ship-To destination
Section A: Use to provide information for New Ship-To,
Limitations: Show limiting conditions, if any, at the destination
Ship-To Change/Update or Ship-To Inactivation.
point; e.g., "Cannot handle care over maximum length of 53
feet."
Section B: Use to provide information for a New HQ Receiver
Restrictions: It is desirable that shippers be allowed to make
Section C: Use to provide additional Ship-To information
shipment by either rail or truck so that the means of
transportation can be selected which will result in least
ITEM
transportation costs. Distributing agencies may restrict the
1
2,3,4, and 5 are Self-explanatory.
method of shipment only when necessary to their program
operations. If a specific mode of transportation is shown, an
6
Provide the Business Partner ID (BP ID) for Ship-To
explanation must be made of the need for the restriction.
Changes/Updates and Inactivation (i.e. 500XXXX)
14
15, 16, 17, and 18 are Self-explanatory.
7
Provide a contact email for the delivery location to
be contacted for delivery questions/issues.
19
Check this box to add a WBSCM User for the HQ
Receiver.
8
Provide a valid delivery contact phone number and/or
fax to schedule deliveries. A contact phone number is
20
21 and 22. Provide the user’s information who will
required.
access WBSCM on behalf of the HQ Receiver.
If the delivery location holds the business name of
9
23
List Ship-To that will be added to the HQ Receiver.
another entity and this location will receive shipments
24
25, 26, 27 and 28 Self-explanatory.
under a different name, add the name of the receiving
organization and specify if it is a DBA or Care of.
29
and 30. Receiving organization or Distributing Agency’s
representative will complete these sections.
10
If applicable, provide the SDA BP ID to have the
Ship-To location mapped to the requested SDA (i.e.
400XXXX)
11
Check this box if the Ship-To must be added to an HQ
Receiver (Processors only) found in Section B
12
Check this box if a Ship-To should be removed from
an SDA.

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