Blaine Food Bank

New Client Intake Forms

Welcome to the Blaine Food Bank! To help us serve you better, all new clients are asked to complete two forms before receiving food assistance. These forms are available in multiple languages and can be downloaded below.

Required Forms:

1. Blaine Food Bank New Client Intake Form
   This form helps us understand your household’s needs and ensure you receive the appropriate support.
2. TEFAP Form (The Emergency Food Assistance Program)
   This government-required form helps us comply with federal guidelines for food distribution.

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Download Forms by Language:

English

• Download Blaine Food Bank New Client Intake Form (PDF)
• Download TEFAP Form (PDF)

Spanish

• Descargar Formulario de Nuevo Cliente del Banco de Alimentos de Blaine (PDF)
• Descargar Formulario TEFAP (PDF)

Russian

• Скачать форму нового клиента Blaine Food Bank (PDF)
• Скачать форму TEFAP (PDF)

Ukrainian

• Завантажити форму нового клієнта Blaine Food Bank (PDF)
• Завантажити форму TEFAP (PDF)

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Instructions:

• Please download and complete both forms before your first visit.
• Bring the completed forms with you to the food bank.
• If you need help filling out the forms, our volunteers are happy to assist you when you arrive.

If you have any questions or need assistance, feel free to contact us or call us at 360-332-6350.