Senior Farmers Market Nutrition Program

Senior Farmers Market Nutrition Program
2026 Application & Affidavit for eligibility
The Senior Farmers Market Nutrition Program (SFMNP) provides an $80 benefit card (one-time distribution) to be used for the purchase of fresh fruits and vegetables at participating farmers markets and roadside stands. It also supports local farming by increasing the use of farmers markets. Funding for this program comes from the United States Department of Agriculture (USDA) and Washington State.

NOTE: SFMNP cards are in limited supply. Cards will be available before mid-June and sent out in the order received.

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Cards will be mailed out in early to mid-June. If you have already applied, please know cards will be mailed out soon if you are approved.
To apply, all of the following must be true:

Age 60+ (or age 55+ if you are American Indian/Alaska Native) by June 15, 2026 Low income — no more than:

$2,461 ($29,532 annual) income for one person
$3,337 ($40,044 annual) income for two people.
For larger households add $848 for each additional Island County, Washington resident

(Zip codes: 98236 | 98239 | 98249 | 98253 | 98260 | 98277 | 98278 | 98282)
Name

First NameLast Name
Email (If you do not have an email please enter example@example.com)
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address - House Number & Street Address
Mailing Address - Apt. or Suite Number
City
Zip Code
I certify that I am, or will be, at least 60 years old (55+ for Native American / Alaska Native) by June 15, 2026.
Date of Birth

MonthDayYear
Date
I certify that I am a resident of WA State.
I certify that my income is below 185% of the Federal Poverty Level. These levels include: $2,461 ($29,532 annual) income for one person or $3,337 ($40,044 annual) income for two people. For larger households add $848 for each additional person.
The USDA requires us to report race and ethnicity information. It is used to learn about who SFMNP serves and does not affect your SFMNP eligibility. Please select all that apply:
Terms and Conditions

This information can also be located at: www.dshs.wa.gov/sites/default/files/ALTSA/hcs/documents/AAA/Rights_and_Responsibilities.pdf
PARTICIPANT SIGNATURE
By signing this form, you certify that you meet all of the eligibility requirements and the information you have provided on the application is true and complete.
Type your name or the name of the person you are filling this out for.
Signature
Should be Empty:

Senior Farmers Market Nutrition Program

Terms and Conditions