Agency Forms

Below is a list of forms for agency use.
To open a form, click on the title.

If you have any questions or concerns, please contact Agency Relations Manager, Katrina Schauland Watkins at 252.335.4035 x 108 or


Agency Report Forms: 
Agency Monthly Report Form GoogleDrive (online submission)
Agency Monthly Report or PDF


TEFAP Report Forms:

2018 TEFAP Forms!

TEFAP 3 Eligibility Form – FY2018 or  PDF
TEFAP 3 Eligibility Spanish Form – FY2018

How to Fill out the TEFAP Eligibility form

2018 1st qtr TEFAP Inventory Report Form or  PDF
Rate of Distribution per household 1st qtr 2018 or  PDF
2018 1st Qtr TEFAP Newsletter PDF

2017 4th qtr TEFAP Inventory Excel or PDF

Retail Donation Forms: 
Food Lion, Walmart, Panera, CVS Donation Report Form

Access MealConnect HERE
For questions about MealConnect, please contact Shanita Davis at x109 or 


Other Agency Forms: 
Agency General Info Update 2018
Organization Participation Agreement 2018
Client Sign-In Sheet (Excel)  or  (PDF)
Client Sign-in Sheet Multiple Servings (Excel)  or  (PDF)
Temperature Log (Excel)  or  (PDF)