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
*
Back
Next
Beneficiary Information
Beneficiary First Name
*
Beneficiary Contact Information
*
Contact Method
*
Please Select
Local Phone
WhatsApp
Signal
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.
*
Back
Next
Case Urgency
Payment Type
*
Please Select
Request Donation
PayPal
Giving Fuel
When was the last time your beneficiary (or their family) had three meals per day?
*
/
Month
/
Day
Year
Date
How many people are in the family?
*
Was your beneficiary a part of ANASOF?
*
Yes
No
Is the head of household male or female (demographic purposes only)?
*
Male
Female
Have you verified that your beneficiary has NOT recently requested food aide from another handler or organization?
*
Yes
No
Head of household nation ID number
*
Enter any notes / message to Rafiq Friends of Afghans:
Back
Next
Vetting Certification
Help us keep the delivery teams safe; has this family been personally vetted by you, their handler?
*
Yes
No
Submit
Should be Empty: