hdffa · HDFFA Food Finder Site Addition Form

Site Name

*

Site Mission Statement

Category

*

Select a category that corresponds with your site:

Programs

*

Select program options that your site provides

Requirements

*

Are there any requirements needed by guests to access your site and its resources?

If Yes:

What requirements does your site need from a new guest to access your resources?

Payment Programs

Does your site accept any payment benefits or programs?

Supplemental Nutrition Assistance Program (SNAP)

Double Up Food Bucks (DUFB)

Farm Direct Nutrition Program

Pay as you go

Sliding Scale payments

Women Infants Children (WIC)

Payment Program Not Listed?

Add an additional payment program here:

Website

Paste a link to your site website

Other Payment programs:

If your payment program is not listed, please note here:

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Open Hours

*

Email

*

Verify Email

*

Phone

*

Thank You!

We will follow up with any additional questions or corrections.