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Agency Forms and Information

~ Agency Relations Conference ~

NEW DATE ~ September 13, 2013

 For more information - http://www.secondharvestfoodbank.org/69/3

 

Statistics are due by the 15th of the month following service.  Email your monthly stats to: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Second Harvest Food Bank will be CLOSED Monday May 27, 2013. 

Any agency with a scheduled delivery or wanting to schedule an agency pick up on Tuesday, May 28, 2013 must submit your order by 12:00 pm on THURSDAY, May 23, 2013.

 

Any agency with a scheduled delivery or wanting to schedule an agency pick up on Wednesday, May 29, 2013,must submit your order by 12:00 pm on FRIDAY, May 24, 2013.

 


 

 


Agency Shopping List      xls   EXCEL  |  pdf   PDF

Please note: To view the most recent file hit refresh on your browser.

  • Perishable products such as produce, bread and other baked goods, and assorted cooler and freezer product now appear on the shopping list.  Perishable items can be ordered with your regular order.  Additional afternoon appointments are available for agencies who wish to pick up perishable products only.  Appointments may be made up to 24 hours in advance or for the same day, if available.  Please contact customer service at (440) 960-2265 x228.
  • A new category of items has appeared on the shopping list. Items designated "BACKPACK" or "BPP" will be available only to backpack programs. Pantries, hot meal programs, shelters, etc..., are not eligible to receive these products. Please contact us with any questions.
  • Updated Monday-Friday, except Holidays. Orders are processed in the order received and not accepted more than five working days before the scheduled pick-up or delivery. To place an order send by e-mail to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 


General Agency Forms

Monthly Statistical Report   alt  Monthly Statistical Report

Agency Relations Manual    pdf Agency Relations Manual

Temperature Log   alt Temperature Log

Ohio Food Programs Manual   pdf  Ohio Food Programs Manual

USDA "And Justice For All" Poster   alt USDA Poster

Agency ID Card Replacement Form  alt  Replacement Form


Food Pantry Forms  Effective July 1, 2012 through June 30, 2013

Client Eligibility To Take Food Home Form    alt English |  alt  Spanish

Client Eligibility To Take Food Home Form   pdf English  |  pdf Spanish

Household Income Eligibility Guidelines      pdf English   |  pdf Spanish

ETTFH Form Pantry Desk Guide  **NEW for 2012**    alt   ODJFS Pantry Desk Guide 
Client Proxy Form  alt  Proxy Form

Food Pantry Statistics Worksheet   alt Food Pantry Statistical Worksheet

Second Harvest Food Bank is an agency of Feeding Americasecond harvest is a better business bureau accredited charity4 Star 88x31

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