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MOBILE PANTRY INTAKE Formulas read the following statements carefully. Then SIGN the form and write in today's date. I certify that my annual gross income is at or below the income listed on this

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How to fill out mobile pantry intake form

01

Start by accessing the mobile pantry intake form on your mobile device.

02

Fill in your personal information such as name, contact information, and address.

03

Provide details about your household, including the number of people living in your household and their ages.

04

Indicate any dietary restrictions or preferences that may be relevant for the mobile pantry to consider.

05

Answer any additional questions about your current food situation or any specific needs you may have.

06

Review the form to ensure all information is accurate and complete.

07

Submit the form by clicking the 'Submit' or similar button.

08

Wait for a confirmation message or email from the mobile pantry regarding your intake form.

Who needs mobile pantry intake form?

01

Anyone who requires assistance with obtaining food from a mobile pantry needs to fill out the mobile pantry intake form. This includes individuals and families who are experiencing food insecurity or limited access to nutritious food. It is also applicable to those who may have specific dietary restrictions or preferences that need to be taken into consideration when receiving food assistance.

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