ODE USDA DoD Fresh Delivery Location Request Form

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Please use this form to:

- request a delivery site addition; or
- make a change to an existing delivery location; or
- request to add a site for the summer program.

Deliveries per destination must exceed $150 value.

If you have questions, please contact us at ode.usdafoods@ode.oregon.gov (Child Nutrition Programs / USDA Foods Program).

Email *

What is your request? *

Add a new delivery site for the school lunch program (NSLP)

Add a delivery site for the summer program (SFSP)

Make a change to an existing delivery site

Agency Name *

Site Name *

Site Address *

Point of Contact: contact name, email and phone number *

A copy of your responses will be emailed to the address you provided.

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