Food Forward | Receiving Agency Registration

Receiving Agency Registration

Organization Name *

Legal name

Website URL

Office Number

EIN (format ##-#######) *

Contact Information Please list the information for the person we will contact about this form.

First Name *

Last Name *

Phone *

Email *

Program Location The primary location where your programming and/or food distribution is based.

Address *

Address 2

City *

State *

Zip *

Mailing Address The official address of your organization, if different from above (optional).

Address

Address 2

City

State

Zip

More Information

Tell us about your organization *

What are the food related needs of the communities you serve? *

Food Forward programs recover produce throughout the region, and many more opportunities are available for organizations with the ability to pick up donations near them.

If donations are available near you, would you be able to arrange for pickup?

Yes

Maximum distance you could travel:

miles

Geographic Area(s) Served *

Operating Hours When can you accept donations of food?

Day	Open Time	Close Time
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Distribution Hours When do you distribute food?

Day	Open Time	Close Time
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

FOOD FORWARD RECEIVING AGENCY AGREEMENT

In order to become a Food Forward Receiving Agency, an organization must

agree that it, or the organization of which it is a local chapter or affiliate, as applicable, shall maintain its status as a not-for-profit, tax-exempt organization under section 501(c)(3) of the Internal Revenue Code of 1986, as amended; and
offer all of the produce it receives from Food Forward to any person struggling with food insecurity, without any financial cost or any other requirements or exclusions.

I agree to the above.