HRFP 2021 Appointment Request Form
Hello. Due to COVID-19, we continue to provide food to our clients "by appointment only" and via "Curbside Pickup." You must have an appointment to receive food.

Please ONLY submit this request form if you are in need of food assistance and reside within our Service Area (see website for more info:

Beginning January 2021, ALL clients will be required to register (or re-register) to receive Food Pantry services in the new year. Every clients will be asked to:
1) complete a 2021 Client Application Form
2) present a valid photo ID (e.g. driver's licence, green card, passport, etc...)
3) provide current proof of address (e.g. utility bill, social security statement, etc...) that displays a name that matches the photo ID.

Please bring this information with you to your first appointment in the new year.

In keeping with our standard practices, clients may make only ONE appointment per client household (address) every 7 days.

Once you submit this request form, a volunteer from the Haymarket Regional Food Pantry (HRFP) will contact you to schedule your appointment date and time, and provide you with instructions on what to do the day of your appointment. If you are having any problems with this form, please call 703-754-5990 to speak with one of our volunteers. All calls are returned within 2 business days.

Thank you again for your patience. We are happy to reopen and continue our mission of giving HOPE and Helping Other People Eat.
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