Calvary Church Mobile Pantry

You MUST be a Delaware resident to participate. Please bring proof of Delaware residency to the distribution (e.g. piece of mail). Please bring your ticket either printed or digitally on your phone. Please look below at the income chart. Look for your family size. Is your total household income (not just your income) ABOVE or BELOW the income listed for your household size? You will note this on your registration form.

Please read USDA disclaimer:

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1) mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410;

(2) fax: (202) 690-7442; or

(3) email: [email protected].

This institution is an equal opportunity provider.

Please note: You have the right to appeal this decision. To do so, please contact your service provider.

You have a right to request a fair hearing if you do not agree with the action taken. You must request a hearing within 60 days from the date this notice is mailed. Your request for a fair hearing must be made verbally or in writing to the certifying agency listed above. Use this tear off portion of the form for written notification. Please complete the information below and mail or deliver to the certifying agency.

Host or Publisher Food Bank of Delaware