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 Form   or  (PDF)


TEFAP Report Forms:

2017 3rd Qtr TEFAP Inventory Excel or  PDF

2017 3rd Qtr TEFAP Rate of Distribution

2017 July, Aug, Sept TEFAP Newsletter PDF

2017 2nd Qtr TEFAP Inventory Excel  or  PDF   

TEFAP-3 Eligibility Form 2016-2017  or  (PDF)
TEFAP-3 Eligibility Form 2016-2017 – Spanish


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 Form
Organization Participation Agreement 2017 PDF
Client Sign-In Sheet (Excel)  or  (PDF)
Client Sign-in Sheet Multiple Servings (Excel)  or  (PDF)
Temperature Log (Excel)  or  (PDF)