LLCF Food Distribution
By signing up on this website for food you self-declare that:  
1.  Your name and zip code listed is correct.
2.  Your household size as stated and resides w/in this state and organization's service area.
3.  Your income is w/in 235% of the Federal Poverty Guidelines as posted for this distribution.
4.  You agree that TEFAP food is for home consumption only and will not be sold, traded, or bartered.
5.  You have been shown and have read the full USDA Nondiscrimination Statement (below).

You will not be denied TFAP food if you refuse to disclose any information that is not a requirement of TFAP.  You will never need to provide your social security number or proof of income.  
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First & Last Name (nombre y apellido) *
Email Address *
Zip Code (código postal) *
Phone #  *
Family Size (tamaño de la familia) *
Ethnicity (Etnia) *
Is this your 1st time receiving USDA food this month?  (¿Es la primera vez que recibe productos alimenticios del USDA este mes?) *
Rights & Justice for All (Derechos y Justicia para Todos)
Income Guidelines (Directrices de ingresos)
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