In compliance with the state’s TEFAP program, eligibility guidelines are posted here and the data privacy statement is here.
By submitting this form, I verify that I am eligible to receive TEFAP commodity food because:
• I am in Minnesota
• My household income is 300% or less of the Federal Poverty Guidelines.
• I am also eligible if I receive or participate in the following services or programs:
MFIP (Minnesota Family Investment Program)
Child Care Assistance, GA (General Assistance)
SNAP (Supplemental Nutritional Assistance Program)
NAPS (Nutritional Assistance Program for Seniors)
WIC (Women, Infants, and Children)
Please call 651-390-6507 or email firstname.lastname@example.org with any questions.
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.