Food Shelf Delivery Request

Thank you for using our online delivery request form for deliveries in Ramsey County and Washington County. Available days and dates of delivery are now shown on the request form for easier scheduling.  If the date you wish to receive a delivery is not listed, it may be because the delivery limit has been reached for that day.

Once we receive your request, we will coordinate a delivery to your home.

In compliance with the state’s TEFAP program, eligibility guidelines are posted here and the data privacy statement is here.

Please call 651-390-6507 or email foodshelfdeliverymn@gmail.com with any questions.

Name *

First Name Last Name

Enter Delivery Address *

Unit # (for apartments, townhomes, etc.)

Which best describes your housing? *

Single-family home Apartment or Duplex Manufactured Home Townhome Hotel/Motel Other

Delivery instructions:

Is there a gate or access number needed to enter?

Phone Number *

This is the number we will call on day of delivery - please make sure to answer your phone that day - thank you!

Alternate Phone Number

If we cannot reach you at your primary phone number we will try calling this number next.

Email

example@example.com

In the drop down below, please select the region that best represents where you live.
This will help us make our routes as efficient so we can deliver to your household as quickly as possible.

North Ramsey County:
Shoreview, North Oaks, Arden Hills, Vadnais Heights, Little Canada, White Bear Lake, Roseville

South Ramsey County:
St. Paul, Maplewood

North Washington County:
Forest Lake, Scandia, Hugo

Central Washington County:
Oakdale, Bayport, Stillwater, Lake Elmo, Mahtomedi

South Washington County:
Woodbury, Cottage Grove, St. Paul Park, Newport

Select Your Region *

(see region descriptions above)

North Ramsey County: What day of the week would you like a delivery?

South Ramsey County: What day of the week would you like a delivery?

North Washington County: What day of the week would you like a delivery?

Central Washington County: What day of the week would you like a delivery?

South Washington County: What day of the week would you like a delivery?

Click the time listed to the right of the calendar to confirm your delivery date. The time listed is the latest time your food will be delivered during the timeframe listed above the calendar.

Monday Calendar - Delivery is between 11:00am - 3:30pm

Tuesday Calendar - Delivery is between 11:00am - 3:30pm

Wednesday Calendar - Delivery is between 11:00am - 3:30pm

Thursday Calendar - Delivery is between 1:00pm - 5:00pm

Friday Calendar - Delivery is between 10:00am - 3:30pm

Delivery window: 11:00am – 3:30pm

Delivery window: 1:00pm - 5:00pm

Delivery window: 10:00am - 3:30pm

Appointment Date

Date

Delivery Time

Please indicate if you prefer a specific dietary option or an additional item in your pack:

Gluten Free Vegetarian Foods that can be prepared using a microwave Dog Food Cat Food Diapers Other

If you selected diapers, please indicate what size:

How many people in your household are children (ages 0-17)? *

How many people in your household are adults (ages 18-64)? *

How many people in your household are seniors (age 65+)? *

Form completed by, or referral provided by

By submitting this form, I understand that I am voluntarily providing private information about myself. I understand I am not required to provide this data but if I do not I will not be able to have essential goods delivered to me. I understand and agree my data may be shared with providers of delivery of essential goods, persons that I give written consent and as required or authorized by law.

APPT DATE

Date

The delivery program is managed in partnership with Christian Cupboard Emergency Food Shelf, White Bear Lake Area Food Shelf, Valley Outreach, Washington County, and NewTrax.

Contact foodshelfdeliverymn@gmail.com or 651-390-6507 with questions.