Huachuca City, AZ · Cochise County
TEFAP Household Distribution Site Sign-In Sheet
This bilingual sign-in sheet records household information and eligibility certifications for people receiving food through a TEFAP distribution site.
What this form is
The sheet is used at a Household Distribution Site for The Emergency Food Assistance Program (TEFAP). Participants print their names and provide an address or client ID, date of birth if they choose, household size, and number of boxes; the form notes that date of birth is not required to receive food. It also asks for the distribution site, volunteer name, and date, and includes income guidelines and eligibility statements.
Who needs it
Households receiving food at a TEFAP distribution site use this sheet to provide requested information and certify their eligibility.
How to submit it
Submit the completed sheet at the distribution site; the document does not provide an address, email, portal, or fee.
About notarization
This sheet is completed without a notary; it has no notarized attachment or sworn step, and participants print their names and provide the requested information.
How to submit this form
- 1
Download The Sheet
Download the TEFAP Household Distribution Site Sign-In Sheet.
- 2
Complete The Requested Fields
Print your name and provide the requested household details; date of birth is not required to receive food.
- 3
Review The Eligibility Statements
Read the income guidelines and eligibility statements before completing the sheet.
- 4
Submit At The Distribution Site
Provide the completed sheet at the distribution site.
Frequently asked questions
- What is the TEFAP Household Distribution Site Sign-In Sheet?
- It records household details and eligibility certifications for people receiving food through a TEFAP Household Distribution Site.
- What information does the sheet ask for?
- It asks for a printed name, address or client ID, optional date of birth, household size, number of boxes, and initials, plus distribution site, volunteer name, and date.
- Do I need a notary for the TEFAP sign-in sheet?
- No. The sheet is completed without a notary and has no notarized attachment or sworn step; participants print their names and provide the requested information.
- How do I submit the TEFAP sign-in sheet?
- Submit the completed sheet at the distribution site. The document does not give an address, email, portal, or fee.
