TEFAP Daily Roster - Second Harvest Food Bank Middle Tennessee - secondharvestmidtn 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Month/Year at the top of the form. This helps track the distribution period.
3. Fill in the Agency name, Address, City, Zip code, and County. Accurate information ensures proper record-keeping.
4. The Agency Representative should write their name in the designated field and note the Issue Date for reference.
5. Applicants must print their name and address clearly. Additionally, indicate the number of individuals in the household.
6. Self-declare income or select a program code if applicable. Ensure that this information is accurate as it determines eligibility.
7. Select the appropriate Check Distribution Rate used: Monthly, Bi-Monthly, or Quarterly.
8. If an applicant is deemed ineligible, mark an 'X' in the Issue Date column as instructed.
9. Finally, ensure that all signatures are collected where required to validate participation.

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