JFS Food Pantry Delivery Request
Due to staffing constraints as of 10/1/2025 we will require medical verification that someone is need of grocery delivery in order to receive the service.  You can find the form at this link: Medical Verification Form. After we receive your form you will be able to reserve a delivery every other week/2x per month by calling our main number at 734-769-0209 Please feel free to call JFS or email us at foodpantry@jfsannarbor.org with any questions. 
Sign in to Google to save your progress. Learn more
Submit
Clear form
This form was created inside of Jewish Family Services of Washtenaw County.

Does this form look suspicious? Report