The City of Oakland is joining the State of California's Great Plates Delivered Program to help support Oakland's seniors and at risk adults receive nutritional meals.

The following questions are to see if you, or the person you are filling this out on behalf of, qualify for this program. Your personal information will be kept confidential and not otherwise disclosed outside of the administration of this program.

By completing this form I certify that the information provided in this form is true and correct to the best of my knowledge.  Completion of this form does not guarantee acceptance into program. Please note that this program is subject to a limited time period.

Once the form is complete, someone will contact you to confirm eligibility. The Great Plates Program is currently at capacity, confirmed eligible applicants will be placed on a waiting list and notified if our capacity increases.