FORMS

  • Form A: Monthly Agency Report (Online Form)
  • Form C:Temperature Log (Required) (PDF)
  • Form D: Agency Information Change Form (As needed) (PDF)
  • Form E: Client Bill of Rights (Required) (PDF)
  • Form F: Agency Bill of Rights (Required) (PDF)
  • Form H1: USDA Civil Rights Complaint Form (As needed) (PDF)
  • Form H2: FSF Program Grievance Form (As needed) (PDF)
  • Form J: Credit Limit Adjustment Request (PDF)
  • Pest Control: Pest Control Log (PDF)
  • Upload Documents: Click here!

PROGRAM SPECIFIC FORMS

  • USDA Income Eligibility Form: English, Spanish & Creole (PDF)
  • Form I: Client Signature Log (Required for USDA- Food Pantries only) (PDF)
  • Form I: Head Plate Count (Required for USDA- Soup Kitchens only) (PDF)
  • Form M: Extra Helpings Reporting Form (Online Form)

SDPLUS REPORTING:

GUIDEBOOKS

  • Partner Agency Guidebook (PDF)
  • Agency Express Guidebook (PDF)

TRAININGS & SCHEDULING

  • Agency Relations Calendar (PDF)
  • Registration for Agency Training Sessions (Online Form)

SURVEYS

Let us know how we’re doing with customer service, tell us about your agency capacity, or let us know about your overall satisfaction with us as an organization!

Take these surveys on a one-time basis:
Agency Capacity Survey (Online Form)
Agency Demographics (Online Form)

SHARED MAINTENANCE FEES

Shared Maintenance Fees are fees associated with the transportation, warehousing, and distribution of food and grocery products. These fees are charged on a per pound basis, ranging from no charge to a maximum of .19 cents per pound. These fees are incurred by the Partner Agency and then distributed through a benevolent program, so that all clients receive food free of charge. NO PERSON IN NEED OF ASSISTANCE EVER PAYS FOR FOOD.

NON-DISCRIMINATION STATEMENT

“In accordance with federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410 or call 866-632-9992 or 202-401-0216 (voice) Individuals who are hearing impaired or have speech disabilities may contact the USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-613 (Spanish). USDA is an equal opportunity provider and employer.”