All information on this form will only be accessed by those who need to organise getting food to the person referred. Only the minimum amount of information is required for this purpose and will be destroyed once the crisis is over. Information will not be shared with any third party and only used for the purpose of delivering food to the most vulnerable.

If further referrals are needed for same household, a separate referral must be made each time.

If you or someone in your household have known allergies, be aware that we are a volunteer agency and it is the individual’s responsibility to check ingredients of food provided to them before consuming.