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Field Seq.Position FromPosition ToDescriptionField SizeField TypeRequiredNotesCCG Comment
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113Upload Form ID3N(3,0)YValue = 625 for every record
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249Serial Number6N(6,0)YSequential Record Number (1, 2, 3, etc.)
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31017Process Date8N(8,0)NMMDDYYYY - Date the Sponsor processed the data. This is for informational purposes only for the sponsor and is not used by the claim in TX-UNPS.We don't do anything with this nor do we care about it.
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41823Vendor Number6C(6)NSponsor Vendor Number Example (B26600), Do not include dashes. Leave Blank
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52487CE Name64C(64)YName of CE
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68892CE ID Number5C(5)YUnique TX-UNPS system generated sponsor number
Do not include dashes; zero fill from left e.g. 01234
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79394Claim Month2N(2,0)YEnter the month the claim is being submitted for:
Calendar month number (01, 02, …. 11, 12)
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89598Claim Year4N(4,0)YEnter the year the claim is being submitted for:
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999130Provider First Name32C(32)YFirst Name of Provider
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10131162Provider Last Name32C(32)YLast Name of Provider
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11163178License Number16C(16)NCurrent License Number of the provider
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12179190Provider ID12N(12)YUnique TX-UNPS system generated provider ID. This is the value displayed in the header above the provider’s name.
Unique ID (for a given sponsor) that will be used as the provider record locator when importing the data. (Note: if the value cannot be found, the record will not be uploaded.)
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13191206Alternate Provider ID Not In Use for TDA16C(16)NUnique ID identifying the provider and will be used to identify the provider record in the system. This field will be used as the provider record locator when importing the data. Leave Blank
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14207213Number of Homes Participating Tier I7N(7,0)NIf not claiming Tier I, leave blank
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15214220Number of Homes Participating Tier II High7N(7,0)NIf not claiming Tier II High, leave blank
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16221227Number of Homes Participating Tier II Low7N(7,0)NIf not claiming Tier II Low, leave blank
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17228234Number of Homes Participating Tier II Mix7N(7,0)NIf not claiming Tier II Mix, leave blank
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18235241Number of Days Meals Served Tier I7N(7,0)NIf not claiming Tier I, leave blank
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19242248Number of Days Meals Served Tier II High7N(7,0)NIf not claiming Tier II High, leave blank
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20249255Number of Days Meals Served Tier II Low7N(7,0)NIf not claiming Tier II Low, leave blank
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21256262Number of Days Meals Served Tier II Mix7N(7,0)NIf not claiming Tier II Mix, leave blank
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22263269Average Daily Attendance Tier I7N(7,0)NIf not claiming Tier I, leave blank
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23270276Average Daily Attendance Tier II High7N(7,0)NIf not claiming Tier II High, leave blank
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24277283Average Daily Attendance Tier II Low7N(7,0)NIf not claiming Tier II Low, leave blank
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25284290Average Daily Attendance Tier II Mix7N(7,0)NIf not claiming Tier II Mix, leave blank
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26291297Breakfast Tier I Meals Served7N(7,0)NIf not claiming Tier I, leave blank
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27298304Breakfast Tier II High Meals Served7N(7,0)NIf not claiming Tier II High, leave blank
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28305311Breakfast Tier II Low Meals Served7N(7,0)NIf not claiming Tier II Low, leave blank
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29312318AM Snack Tier I Meals Served7N(7,0)NIf not claiming Tier I, leave blank
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30319325AM Snack Tier II High Meals Served7N(7,0)NIf not claiming Tier II High, leave blank
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31326332AM Snack Tier II Low Meals Served7N(7,0)NIf not claiming Tier II Low, leave blank
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32333339Lunch Tier I Meals Served7N(7,0)NIf not claiming Tier I, leave blank
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33340346Lunch Tier II High Meals Served7N(7,0)NIf not claiming Tier II High, leave blank
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34347353Lunch Tier II Low Meals Served7N(7,0)NIf not claiming Tier II Low, leave blank
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35354360PM Snack Tier I Meals Served7N(7,0)NIf not claiming Tier I, leave blank
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36361367PM Snack Tier II High Meals Served7N(7,0)NIf not claiming Tier II High, leave blank
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37368374PM Snack Tier II Low Meals Served7N(7,0)NIf not claiming Tier II Low, leave blank
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38375381Supper Tier I Meals Served7N(7,0)NIf not claiming Tier I, leave blank
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39382388Supper Tier II High Meals Served7N(7,0)NIf not claiming Tier II High, leave blank
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40389395Supper Tier II Low Meals Served7N(7,0)NIf not claiming Tier II Low, leave blank
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41396402Evening Snack Tier I Meals Served7N(7,0)NIf not claiming Tier I, leave blank
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42403409Evening Snack Tier II High Meals Served7N(7,0)NIf not claiming Tier II High, leave blank
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43410416Evening Snack Tier II Low Meals Served7N(7,0)NIf not claiming Tier II Low, leave blank
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44417428Total Administrative Costs12N(10,2)NThis should be left blank.
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