Returning Box Distribution
Participant Name:
Date:
Household Size:
Monthly Income:
ID Type:
Participant returned to receive Food Pantry services. Eligibility was reviewed and the participant was confirmed to meet all program requirements at the time of service. Based on continued eligibility, the participant’s request for a food box was approved. The food box was issued in accordance with Food Pantry Program guidelines and service frequency policies.
[Title] – [Name]
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