Please complete this form if you or someone in your home has been told to self-quarantine because of coronavirus (COVID-19) and you would like to receive food delivered to your home.

We will ask for your address and contact information in order to deliver food to your door. That information may be shared with our community partner organizations who may assist us with deliveries.

All requests received BEFORE 8:00 AM on 7/9/2020 will receive delivery on 7/11/2020 between 8:00 - 11:00 AM. All requests received AFTER 8:00 AM on 7/9/2020 will receive delivery on 7/18/2020 between 8:00 - 11:00 AM.

Note: Only available in Benton and Washington Counties.

Por favor complete esta forma si le han dicho a usted o alguien en su hogar que deben Self-Quarantine (Isolación) por coronavirus (COVID-19) y desea recibir comida hasta a su hogar.

Le preguntaremos su dirección y su información para comunicarnos y poder llevarle comida hasta la puerta de su casa. Esa información puede ser compartida con las organizaciones de la comunidad que nos asisten con llevar comida hogares.

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