Referral Form

Return to previous page

Need Assistance?

Need help enrolling in benefits or accessing a Treasure Coast Food Bank program? Fill out this form and our team will connect you with a Treasure Coast Food Bank representative who can guide you through available programs and assist with benefits enrollment. Once submitted, someone will reach out within 2 business days to support you.

WCC - SNAP Landing Page

Step 1 of 2

Treasure Coast Food Bank’s Neighbor Experience Team provides free, personalized support for enrolling in Medicaid, SNAP, TANF (Cash Assistance), and FL KidCare. We can also help you explore Treasure Coast Food Bank programs that may complement your benefits and offer additional stability. Whether you’re checking eligibility, applying, or re-certifying, our team is here to guide you through each step and connect you with the resources that best meet your needs.

Click "Next" to complete the form and we will contact you within two business days to begin the application process.

For more information:
772-464-9617 for Indian River, St. Lucie, and Okeechobee assistance.
To speak with an Advisor at our Martin County office, call 772-463-2168.

If you need health insurance enrollment assistance through the marketplace, please click here: https://widget.getcoveredamerica.org/

Please note: Submission of this form is NOT an application. This form is for new or renewal application assistance only. If you need to complete the required phone interview or you have other issues with your MyACCESS Florida account, please contact the state call center at 1-850-300-4323.

Can’t find what you’re looking for? Contact Us

Treasure Coast Food Bank is an equal opportunity provider.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online, at this link , from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

fax:
(833) 256-1665 or (202) 690-7442;

email:
program.intake@usda.gov
This institution is an equal opportunity provider.


Para todos los demás programas de asistencia de nutrición del FNS, agencias estatales o locales y sus subreceptores, deben publicar la siguiente Declaración de No Discriminación:

De acuerdo con la ley federal de derechos civiles y las normas y políticas de derechos civiles del Departamento de Agricultura de los Estados Unidos (USDA), esta entidad está prohibida de discriminar por motivos de raza, color, origen nacional, sexo (incluyendo identidad de género y orientación sexual), discapacidad, edad, o represalia o retorsión por actividades previas de derechos civiles.

La información sobre el programa puede estar disponible en otros idiomas que no sean el inglés. Las personas con discapacidades que requieren medios alternos de comunicación para obtener la información del programa (por ejemplo, Braille, letra grande, cinta de audio, lenguaje de señas americano (ASL), etc.) deben comunicarse con la agencia local o estatal responsable de administrar el programa o con el Centro TARGET del USDA al (202) 720-2600 (voz y TTY) o comuníquese con el USDA a través del Servicio Federal de Retransmisión al (800) 877-8339.

Para presentar una queja por discriminación en el programa, el reclamante debe llenar un formulario AD-3027, formulario de queja por discriminación en el programa del USDA, el cual puede obtenerse en línea en: este enlace , de cualquier oficina de USDA, llamando al (866) 632-9992, o escribiendo una carta dirigida a USDA. La carta debe contener el nombre del demandante, la dirección, el número de teléfono y una descripción escrita de la acción discriminatoria alegada con suficiente detalle para informar al Subsecretario de Derechos Civiles (ASCR) sobre la naturaleza y fecha de una presunta violación de derechos civiles. El formulario AD-3027 completado o la carta debe presentarse a USDA por:

correo:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

fax:
(833) 256-1665 or (202) 690-7442;

correo electrónico:
program.intake@usda.gov
Esta entidad es un proveedor que brinda igualdad de oportunidades.