formulario para apoderado

Form in Spanish for requesting food assistance, including sections for personal information such as name, signature, residence, and number of household members, with annotations in yellow and red highlighting instructions.
A form titled 'Request for another person to pick up food products in case of emergency' from the California Department of Social Services, detailing income limits for different household sizes, with instructions and certification sections.

Proxy Form USDA

A form titled 'Alternative Pick-Up Request Form' for the emergency food assistance program, with sections to fill in date, household size, income details, signature, and contact information. Instructions and notes are included on the page.
A form titled 'Alternative Pick-up Request Form' from the California Department of Social Services for the Emergency Food Assistance Program 2025 Income Guidelines, listing maximum household income thresholds.