CSFP Request Form
Fill out this form to see if you are eligible for the Commodity Supplemental Food Program.
Eligibility for the CSFP food boxes is based on age, income, and residency. Our CSFP coordinator will contact you to verify eligibility and determine your nearest distribution site.
This institution is an equal opportunity provider.
CICOA Aging & In-Home Solutions is committed to your privacy and to the protection of your personal information. Your information is submitted securely and will only be used for the purposes of the CSFP program.