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PANTRY INTAKE FORMHOUSEHOLD APPLICATION FOR USDA FOODS Name of Household Member: ___ Number of People in Household: ___ Date of Birth*:___ Address: ___ City___Zip___ Phone Number*: ___ (*Participant
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How to fill out pantry intake form
How to fill out pantry intake form
01
Obtain a copy of the pantry intake form from the pantry staff or website.
02
Fill in your personal information such as name, address, phone number, and email address.
03
Provide information about your household size and any special dietary needs or restrictions.
04
List the types of food items you are in need of or prefer to receive from the pantry.
05
Sign and date the form to certify that the information provided is accurate and complete.
Who needs pantry intake form?
01
Individuals or families who are seeking assistance with obtaining food from a pantry.
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What is pantry intake form?
Pantry intake form is a form used to collect information about the food and supplies taken from a pantry or food bank.
Who is required to file pantry intake form?
Individuals or families who receive assistance from a pantry or food bank are required to file a pantry intake form.
How to fill out pantry intake form?
To fill out a pantry intake form, you will need to provide your personal information, household size, income details, and list of items received.
What is the purpose of pantry intake form?
The purpose of pantry intake form is to track the distribution of food and supplies to individuals and families in need.
What information must be reported on pantry intake form?
The information reported on pantry intake form typically includes personal details, household size, income, and items received from the pantry or food bank.
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