FNS-7 Destination Data for Food Deliveries

Appendix M- FNS-7 Destination Data for Food Deliveries
OMB APPROVED NO.
0584-0293 Expiration Date: XX/
XX/XXXX

TYPE OF ACTION

U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE

DESTINATION DATA FOR DELIVERY OF
DONATED FOODS
FNS Instruction 709-5

NEW SHIP-TO

CHANGE / UPDATE

NEW HQ RECEIVER

INACTIVATE

SEE INSTRUCTIONS ON REVERSE
Public reporting burden for this collection of information is estimated to average 3 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
Business Partners)

7. CONTACT EMAIL (optional)

8. CONTACT NUMBERS (delivery)

9. CARE OF/DBA
NAME (if applicable)

10. SDA BP ID
(Map To)

PRIMARY

PRIMARY:
ALTERNATE:

11.

FAX:

12.

ADD TO HQ RECEIVER

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

ALTERNATE

PHONE:

TRUCK ONLY
LIMITATIONS

SECTION B: NEW HQ RECEIVER
14. COMPANY NAME

15. STREET ADDRESS (Number, Name)

16. CITY

19.

20. NAME (First, Last)

21. EMAIL

ADD HQ RECEIVER WBSCM
USER (COMPLETE 20-22)

17. STATE

18. ZIP CODE

22. PHONE

23. DELIVERY LOCATIONS (if applicable)
NEW SHIP-TO

BP ID (List existing Ship-To that will be mapped to this HQ Receiver)

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

STATE OWNED AND OPERATED

SINGLE PROCESSOR

COMMERCIAL

DRY

OTHER

LOCAL PICKUP

27. TYPE(S) OF STORAGE PROVIDED
REFRIGERATED

NATIONAL WAREHOUSE RECEIVING
LOCATION

NATIONAL PROCESSOR

24B. IF COMMERCIAL WAREHOUSE DELIVERY ACCEPTABLE BY
TRANSFER OF TITLE

26. RELATIONSHIP TO NATIONAL WAREHOUSE

28. HANDLING OF PERISHABLE FOODS (Check one)
SHIPMENT ALWAYS ENTIRELY UNLOADED AND PLACED IN STORAGE

FREEZER

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 [email protected]

FORM FNS-7 (08-19) Previous Editions Obsolete

SBU

Electronic Form Version Designed in AEM 6.4

INSTRUCTIONS
It is important that a separate form be prepared for each
destination when delivery conditions require changes in
Section A: Ship-To.

13

For Rail Delivery - No entry is to be made unless
delivery to a specific location is essential to program
operations; e.g., the receiving warehouse is located on
a rail siding. When an entry is necessary, the address
shown shall include the specific location at which the
car is to be placed for unloading. When reciprocal
switching is not in effect at the point of delivery, the
name of the railroad which serves this location shall be
shown. For example: "Blank's Warehouse, ACL," or
"Industrial siding, PPP." Where reciprocal switching is
in effect at the point of delivery, no delivering carrier
shall be specified. If delivery is to be made on a team
track, the name of a specific team track shall not be
shown unless it is essential to program requirements.

In the "Type of Action" entry, check one box only indicating
whether the form is to provide data for:
(1) A NEW SHIP-TO destination: This can be a request for a
delivery location to be created or a request for a delivery
location to be linked/mapped to a State Distributing
Agency (SDA)
(2) A New HQ Receiver: HQ Receivers are a physical
grouping of Ship-To organizations. One HQ can have
oversight of multiple Ship-To organizations.
(3) Notification of CHANGE/UPDATE in data for an existing
Ship-To. This can be a physical change to the information
or to request removal of a Ship-To to SDA relationship.

For Truck Delivery - Show exact street address for
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,
Ship-To Change/Update or Ship-To Inactivation.
Section B: Use to provide information for a New HQ Receiver
Section C: Use to provide additional Ship-To information
ITEM
1

2,3,4, and 5 are Self-explanatory.

6

Provide the Business Partner ID (BP ID) for Ship-To
Changes/Updates and Inactivation (i.e. 500XXXX)

7

Provide a contact email for the delivery location to
be contacted for delivery questions/issues.

8

9

Provide a valid delivery contact phone number and/or
fax to schedule deliveries. A contact phone number is
required.
If the delivery location holds the business name of
another entity and this location will receive shipments
under a different name, add the name of the receiving
organization and specify if it is a DBA or Care of.

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.

Check one of the boxes to restrict transportation
options.

Limitations: Show limiting conditions, if any, at the destination
point; e.g., "Cannot handle care over maximum length of 53
feet."
Restrictions: It is desirable that shippers be allowed to make
shipment by either rail or truck so that the means of
transportation can be selected which will result in least
transportation costs. Distributing agencies may restrict the
method of shipment only when necessary to their program
operations. If a specific mode of transportation is shown, an
explanation must be made of the need for the restriction.
14

15, 16, 17, and 18 are Self-explanatory.

19

Check this box to add a WBSCM User for the HQ
Receiver.

20

21 and 22. Provide the user’s information who will
access WBSCM on behalf of the HQ Receiver.

23

List Ship-To that will be added to the HQ Receiver.

24

25, 26, 27 and 28 Self-explanatory.

29

and 30. Receiving organization or Distributing Agency’s
representative will complete these sections.