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  • State Food Purchase Program Recipient Signature Form

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: Shall not be sold, exchanged or otherwise disposed of without the approval of the New Jersey Department of Agriculture.

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How to fill out the State Food Purchase Program Recipient Signature Form online

Filling out the State Food Purchase Program Recipient Signature Form online is a straightforward process that ensures your acknowledgment of receiving food purchased through the program. This guide provides step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the recipient signature form.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. In the first field, enter the name of your agency. This information is necessary for identifying your organization within the program.
  3. Provide the date on which you are filling out the form. This should reflect the current month and year.
  4. In the 'Total # of Adults and Children' section, fill in the number of adults and the number of children who received food through the program.
  5. Complete the fields for city and zip code to indicate your agency's location.
  6. Enter the county name where your agency operates.
  7. Sign the form in the designated space to confirm receipt of the food. This signature is required for validation.
  8. Indicate the total number of signatures collected for this form.
  9. Review all entered information for accuracy. Once confirmed, you can save your changes, download, print, or share the completed form as needed.

Complete your form online today to ensure your continued participation in the program.

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