Food Aid Request Form

Food Aid Request Form

Project Exodus Relief & Rafiq Friends of Afghans
THIS FORM IS TO BE COMPLETED BY THE HANDLER, NOT THE REFUGEE.

If you share this link with people inside the country your will severely hamper our efforts.Due to the nature of the crisis in Afghanistan and it's effects on the supply situation, sometimes substitutions of equal nutritional value will be given. If you find discrepancies in your order that are not to your satisfaction, please contact us via Signal. We are happy to work with you to help your refugees. “Rafiq Friends of Afghans” is a Ohio based non-profit corporation and an approved 501(c)(3) organization.
Handler Name*

First Name Last Name
Handler Email*
example@example.com
Handler Signal Name*
Handler Signal Number*
Please enter a valid phone number.
Handler Organization*

Beneficiary Information
Beneficiary First Name*
Beneficiary Contact Information*
Contact Method*
Beneficiary City*
DELIVERIES CURRENTLY LIMITED TO KABUL AND SURROUNDING AREAS.
Is there a code word? If not, what does the family call you? EITHER type your name or code word. *

Case Urgency
Payment Type*
When was the last time your beneficiary (or their family) had three meals per day?*

MonthDay Year
Date
How many people are in the family?*
Was your beneficiary a part of ANASOF?*

YesNo
Is the head of household male or female (demographic purposes only)?*

MaleFemale
Have you verified that your beneficiary has NOT recently requested food aide from another handler or organization?*

YesNo
Head of household nation ID number*
Enter any notes / message to Rafiq Friends of Afghans:

Vetting Certification
Help us keep the delivery teams safe; has this family been personally vetted by you, their handler?*

YesNo
Should be Empty:

THIS FORM IS TO BE COMPLETED BY THE HANDLER, NOT THE REFUGEE.