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EMERGENCY FOOD & MORE FORM

FREE PHONE & TABLET
Receive Government Assistance
Apply for a Free Tablet!




Need to submit documents?
Upload Here
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COMPLETED FORM
Must be printed, filled out and completed
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
Your content has been submitted
PROOF OF ID
Government ID or Passport
PROOF OF CHILDREN
Birth Certificate, or hospital birth card if just born
PROOF OF ADDRESS
Energy, phone, credit card bill, or lease.
PROOF OF INCOME
Recent pay stub, SSI or Disability Benefits, etc...
PROOF OF GOV. ASSISTANCE
SNAP, WIC, TANF, Medicaid, Medicare, etc...
SOCIAL SECURITY CARDS
All members in your household
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