In order to serve new clients to our Food Pantry, you must fill in a registration form and qualify for assistance. 

Whether or not you are eligible to receive TEFAP foods to take home depends on your household income level and the size of your household.  As required by Federal regulations, the State of Virginia establishes uniform statewide criteria for determining eligibility to receive USDA foods. The eligibility criteria include maximum income-based standards at or between 185 percent to 300 percent of the U.S. Federal Poverty Guidelines published annually by the U.S. Department of Health and Human Services. You will never be denied food because of your race, color, national origin, sex, religion, or a disability. You can read the USDA non-discrimination statement here.

If you believe you may qualify for assistance under TEFAP, visit us at our facility in Mount Jackson on a day of food distribution to register. You can also obtain more information from the Blue Ridge Area Food Bank at brafb.org.

You may download, print and fill out the form below and bring it with you on the day of distribution (every third Thursday of the month between noon and 6 p.m.)

Registration Form – English

Registration Form – Spanish

You will need Adobe Acrobat Reader to view the form which can be downloaded here if you don’t already have it.