Get Food Pantry Proxy Form - Serve Inc

Completing the Food Pantry Proxy Form allows you to designate a trusted individual to collect your USDA commodities and food pantry items on your behalf. This guide provides step-by-step instructions to assist you in filling out the form accurately online.

Follow the steps to complete the Food Pantry Proxy Form effectively.

1. Click the ‘Get Form’ button to obtain the Food Pantry Proxy Form and open it in the designated editor.
2. In the first section, print your name as the head of household clearly in the designated space. This identifies you as the individual granting permission.
3. Next, write the name of the proxy person or agency you trust to pick up your items in the provided space. Ensure that this person is agreeable to this role.
4. Select the duration for which this proxy has permission to collect your food items by checking the appropriate box. Options range from '1 Time Only' to '12 Months'.
5. Initial each statement to acknowledge your understanding of the conditions. These include the need to fill out a new form after expiration, your rights to change the proxy, and the possibility of cancellation.
6. Fill in your address and phone number in the corresponding fields. This identification is crucial for SERVE Inc. to verify your identity.
7. Provide the proxy’s phone number to ensure they can be contacted during the pickup process.
8. Sign in the client signature space to validate the form, along with the date. This signature confirms your consent.
9. Once you have completed the form, you can save your changes, download the document, print it, or share it as needed.

Complete your Food Pantry Proxy Form online today for efficient assistance with your food needs!