FOOD BANK

At the Daviess County Food Bank, we’re more than just a pantry — we’re here to help you connect with the support you need.

Simply fill out the form and sign up to make an appointment.

1. Print & Fill Out This Form

Kindly print and complete this form before your appointment, then bring it with you so we can help you smoothly.

2. Sign Up For An Appointment

Sign up here, and we’ll be in touch soon to schedule your assistance appointment.

Bring These Documents With You

For Your Appointment

  • The Above Form Filled Out
  • Picture Identification Card
  • Proof of Address (Phone or utility bill in the name of the applicant)
  • Proof and Source of Gross Income, either annual or monthly for each household member that brings in income. (Pay stub, proof of public assistance, social security income, disability income, child support, pension or tax document in the name of the applicant)
  • Social Security Numbers for all household members