RLC Food Recipient
We at Rescuing Leftover Cuisine aim to assist and work with non-profit organizations like yours who serve the hungry yet may be unable to pick up this food due to staffing or scheduling obstacles. By signing up as a Food Recipient, you agree to accept surplus fresh and prepared food and provide it to those in need. Accepting and serving uneaten food is legal and all parties are protected from Civil and Criminal Liability issues thanks to the Emerson Act.

For more information, please review the websites below.
newenglandfeedingourneighbors.org/rlc
rescuingleftovercuisine.org/donate-food

Organization Name
Your answer
Contact Name
Your answer
Primary Email
Your answer
Secondary Email
Your answer
Organization Phone Number
Your answer
Organization Secondary Phone Number
Your answer
Physical Address
Your answer
Mailing Address
If your physical address is the same as mailing address, leave this section blank.
Your answer
Available for Food Delivery
Please indicate your availability to receive food, providing as much flexibility as possible. If the time-frame does not fit in the windows we provide, please add instructions under Additional Timeframes.
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
9am - 12pm
12pm - 4pm
4pm - 8pm
8pm - 12pm
All
Additional Timeframes
Your answer
Your Needs & Special Instructions
We understand that no two Food Recipients are alike: your needs differ based on your location, your workflow and the people you serve. Although we cannot guarantee a perfect fit for every donation, we do our best to match you with donors based on scheduling, the food being donated and your needs. Food donations may include uncooked perishable and nonperishable foods (ideal for ingredients in the kitchen) and/or cooked perishable food that can be safely eaten within 24-48 hours (ideal for shelters and walk-ins). If you have any special requests or limitations, please note here:
Your answer
Delivery Instructions
Your answer
Terms and Conditions
Find our terms and conditions on rescuingleftovercuisine.org/terms
Submit
Never submit passwords through Google Forms.
This form was created inside of Rescuing Leftover Cuisine, Inc.. Report Abuse - Terms of Service - Additional Terms