EFA 7 (6 21) - The Emergency Food Assistance Program (TEFAP) Certification Of Eligibility 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Food Distribution Agency Name and the Distribution Date & Time at the top of the form.
3. Fill in your Contact Name, Distribution Site Address, and Contact Phone number to ensure proper communication.
4. In the self-declaration section, confirm that your name and address are correct. If you are homeless, indicate 'homeless' as your address.
5. State your household size and ensure it falls within the service area of the organization.
6. Indicate whether your income is within 235% of the Federal Poverty Guidelines as required for this distribution.
7. Agree to the terms regarding TEFAP food usage by checking the appropriate box.
8. Complete your name, address (including zip code), and family size in the designated fields.
9. Answer 'Yes' or 'No' for each question regarding prior USDA food receipt this month, totaling responses at the end.
10. Finally, enter the Food Bank Name at the bottom of the form before saving or submitting your completed document.

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