RECIPIENT SIGNATURE FORM

THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP)

NJ STATE FOOD PURCHASE PROGRAM (SFPP)

Agency: The Food Brigade Inc.
Agency ID: A2634-01
The Food Brigade Inc. is an equal opportunity provider.

TEFAP FOODS: Shall not be sold, exchanged or otherwise disposed of without the approval of the New Jersey Department of Agriculture.

YOU MUST SIGN AND SUBMIT THIS FORM EACH TIME YOU RECEIVE FOOD