Access any needed agency forms below

Agency-Monthly-Report-Blank-2024

Client-Sign-In-Sheet-for-Agencies-English (Excel)

Client-Sign-In-Sheet-for-Agencies-English (PDF)

Client-Sign-In-Sheet-for-Agencies-Spanish (Excel)

Client-Sign-In-Sheet-for-Agencies-Spanish (PDF)

TEFAP Report Forms:

How to complete the Covid-19 TEFAP Forms

1. Your agency needs to use both pages for each TEFAP distribution.
2. Page 1 needs to be completed  and signed by the agency representative responsible for logging all participant information as they come through for TEFAP pickup.  The civil rights statement on the bottom of page 1 is in regard to pantry staff and volunteers.
3. Page 2  is used to log the participants receiving the food with the participant information and confirming eligibility.  The authorized proxy is the person who has permission to pick up TEFAP for a participant.
4. Both page 1 and page 2 must be kept together for each TEFAP distribution and are required to be kept on file for five years.

4th Quarter – Oct.-Nov.-Dec- TEFAP Inventory (EFO,CCCTE)

TEFAP-4 _TEMPLATE_for inventory mgnt

TEFAP-4a_Loss_Transfer Report

TEFAP-3-Client-Sign-In-Sheet-for-Mobile-Distribution-Spanish (PDF)

TEFAP-3-Client-Sign-In-Sheet-for-Mobile-Distribution-English (Excel)

TEFAP-3-Client-Sign-In-Sheet-for-Mobile-Distribution-English (PDF)

TEFAP-3 APR-MAY-JUN 2024

TEFAP-Proxy-Authorization-Form

Cancellation of Use of Beneficiary Rights-TEFAP-and-CSFP-Benefits-from-Religious-Organizations

Retail Donation Forms: 

Food Lion, Walmart, Panera, CVS Donation Report Form

Access MealConnect HERE

Other Agency Forms: 

General-Information-Update-Sheet

Organization-Participation-Agreement

Onboarding Checklist

Agency-Media-Release

INCOME GUIDELINE LETTER & TABLE 2023 – 2024

Agency-Temperature-Sheet

If you have any questions, please reach out to:

Pamela Rouson, Regional Agency Engagement Manager – Region A

252-335-4035, ext. 108

prouson@afoodbank.org

FOOD SAFETY RECALLS