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Your Application Has Been Received!

Your application ID: [[ applicant_code ]]

Thank you for applying for home delivered groceries. We will review your application within one week and notify you when its review is complete. This program is at capacity. If your application is approved, you will be added to the program’s waitlist. In the meantime, if you have questions about your application or the home delivered groceries program, please contact the Participant Support Center at (415) 824-3663 or [email protected].

Eligibility Requirements

Eligibility Criteria*

Please select all that apply. If none of the criteria apply, please go to foodlocator.sfmfoodbank.org to see other services available.

Primary Applicant

Please provide a value. Only A-Z characters accepted
Please provide a value. Only A-Z characters accepted
Please provide a value. Only A-Z characters accepted
Enter a valid date of birth (m/d/yyyy)

Residential Address

More Info
Enter a valid street number
Enter a valid street name
Enter a valid apt #
Enter a valid city
Enter a valid zip
# of households at this address including your own. (Multiple households may live at a single address) Enter a number between 1 and 9
# of people in your household including yourself Enter a number between 1 and 9

Mailing Address

Enter a valid street number
Enter a valid street name
Enter a valid apt #
Enter a valid city
Enter a valid zip

Additional Household Members

* All fields required

Additional Household Member #1

Additional Household Member #2

Additional Household Member #3

Additional Household Member #4

Additional Household Member #5

Additional Household Member #6

Additional Household Member #7

Additional Household Member #8

Additional Household Member #9

Demographical Information

  • On Windows OS use Ctrl + Click to select multiple
  • On Mac OS use Command + Click to select multiple
    Please provide a value. Only A-Z characters accepted
    Please provide a value. Only A-Z characters accepted
    *By ‘household’, we mean a group of people that lives together, shares income and expenses, and eats meals together.

    Contact Information

    Enter a valid email address
    Enter a valid phone number
    Enter a valid phone number

    Delivery Information

    We will try our best to honor your delivery preferences. Currently, deliveries arrive between 9:30AM – 4:30PM once a week on your selected delivery day. Your preferred delivery time and frequency will help us improve our programming to serve you better. We appreciate your flexibility and understanding as we integrate preferred delivery time and preferred frequency in our delivery capabilities.

    Referral Source

    Please provide a value. Only A-Z characters accepted

    Data Sharing

    To provide the community with better services, the Food Bank may share your information with collaborating organizations and public agencies. We will only share participant data with agencies we trust. We will never sell your data. We will not share your information with any law enforcement or immigration agency.


    Communication Consent

    I agree that SFM Food Bank’s staff may text (SMS), email or call me with autodialed, pre-recorded or promotional information using the contact information I’ve provided. Standard message rates may apply. My consent is not required to receive Food Bank services. Should I not agree, I understand that I may still receive service change notifications. If I receive an automated message, I will then be able to stop the messages by following the stop options for each method.


    Certification / Authorization (Required)

    Important notice re COVID-19: Please note any interaction with the general public poses an elevated risk of being exposed to COVID-19 and we cannot guarantee that you will not be exposed while in attendance at the event. SFMFB is not responsible for the health and safety of this event. We encourage you to follow the safety policies, as well as local laws and restrictions.

    I certify that my household is in need of food assistance and that I/my household have been informed that I/we may only be enrolled in a one food bank program at a given time (either home delivered groceries or pantry pick-up). I have been advised of my rights and obligations under the program and certify that the information provided above is correct. The information I provided will be used to enroll me in home delivered groceries. I authorize the SF-Marin Food Bank to share this with food bank partners. This authorization will remain in effect as long as I elect to receive food from the food bank.