Commodity Supplemental Food Program (CSFP) Application

To be eligible for this program, you must be at least 60 years of age and your household income must be at or below 130% of the Federal Poverty Income Guideline.

Step 1 of 6

Complete all required questions, including: proof of age, identity, and RI residency, self-declared income and the number of individuals in your household.
Your Name
Physical Address
MM slash DD slash YYYY
Mailing Address (if different)
To help us find the best location for you to pick up your box, please answer the following questions:
If you live in senior housing please provide the Housing Site Name and Address:
If you currently use a food pantry please provide the Name of the program and Location:
In general, how do you plan to pick up your box? (check all that apply):
The following optional questions will not affect your consideration for the program.
Please answer both question 1 and 2.
1. Are you Hispanic or Latino?
2. Please identify the most appropriate selection or selections. You may choose more than one.
3. What is your preferred language?