Food Shelf Delivery Request

Food Shelf Delivery Request

Please fill out this form to request a food delivery in Ramsey or Washington County
New Delivery Hours Starting July 11th!

We have started a partnership with DoorDash to help improve our delivery process and create a sustainable program. Starting July 11th, deliveries will be made by DoorDash drivers, and you will be able to receive a text notification about where your delivery is and when it will arrive!

We will now offer deliveries 3 days a week:
- Monday 11-3pm
- Tuesday 11-3pm
- Wednesday 11-3pm
Thank you for your patience with us as we work through this transition!

Remember: If you need help with other food resources you can call the food resource hotline at 1-888-711-1151.

For more information, check out our flyer here.
Name *

First Name Last Name
Address

Street Address

Unit or Apartment Number

City State

Zip Code
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
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.
Choose Delivery Date *
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?
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

Month Day Year
Date
Delivery Time
What to expect in your delivery:
Do you have special requests?

No Yes
Please indicate your prefer a specific dietary or an additional request. While we are not always able to accommodate your special requests, we will try our best to fulfill them.

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
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.
Open Cupboard, Valley Outreach, and White Bear Lake Area Food Shelf are only able to serve those within 10 miles of each of our locations. In order to provide you with a delivery, we may have to share your information with another partner, Hallie Q. Brown Food Shelf.

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

Month Day Year
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.
Should be Empty:

Food Shelf Delivery Request

What to expect in your delivery: