From code z 0895-2025

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  1. Click ‘Get Form’ to open the Pantry Intake Form in the editor.
  2. Begin by entering your name in the designated field at the top of the form. This is essential for identification.
  3. Fill in your date of birth and the number of people in your household, including children under 18. This information helps assess eligibility for services.
  4. Provide your complete address, including county, city, state, and zip code. Ensure accuracy for service delivery.
  5. Enter your phone number and ID number as required. This will facilitate communication regarding your application.
  6. List the names and dates of birth of others in your household along with their relationship to you. This section is crucial for understanding family dynamics.
  7. Review the Release of Information section carefully before signing. Your signature confirms that all provided information is accurate.

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