Food Pantry Emergency Form'
Anyone receiving food from the RVCA Food Pantry must complete and submit an application form each year. The income guidelines change at the end of June, so the form must be submitted in July or when receiving food for the first time after that. You may download the form below or just go to the food pantry on the third Tuesday of any month between 1:30 and 4:00 PM to fill out a form and receive food. In crisis situations, people who would otherwise not meet all the guidelines may receive a one-time emergency box of food supplied by the RVCA. If an emergency box is needed, you may leave your name and phone number below and a volunteer will get in touch with you.
What is your name?
*
First Name
Last Name
Where can we reach you?
*
Submit
Should be Empty: