Forms and Brochures

The Emergency Food Assistance Program Forms (TEFAP)

Attachment A - Written Notice of Beneficiary Rights
Attachment C - Beneficiary Referral Request
Alternate Pick-Up (English)
Alternate Pick-Up (Spanish)
EFA-7- Certification Of Eligibility (English)
EFA-7 Certification Of Eligibility (Spanish)
Food Bank and Distribution Site Agreement
Food Bank (ERA)Review Check List
Income Guidelines(English/Spanish)
Purchase/Expense Request Approval Form
Request for Reimbursement
Sub-ERA Review Check List

CSFP/TEFAP Combined Forms

Commodity Loss Report (CLR)
Request for Commodity Transfer

Commodity Supplemental Food Program Forms(CSFP)

CSFP Statement of Confidentiality
Notification Letter for Ineligibility or Discontinuance for the Commodity Supplemental Food Program
Request for Reimbursement

United States Department of Agriculture (USDA)

USDA “And Justice For All Poster" (copy of poster, please contact food bank for original)
Best If Used By Guide

This institution is an equal opportunity provider.