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:

NEW! 2017-2018 TEFAP Forms!

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

How to Fill out the TEFAP Eligibility form

2017 3rd Qtr TEFAP Inventory Excel or  PDF
2017 3rd Qtr TEFAP Rate of Distribution
2017 July, Aug, Sept TEFAP Newsletter 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 2017
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)