For referral agency use only.
For three day’s emergency supply of food.
Please ensure that you complete ALL fields before submitting.
Notes for Referral Agencies
I give my consent for Canterbury Food Bank to contact the referral agency to discuss my circumstances, and I give my consent for my data to be held in a database:
• To enable food parcel control and,
• for the production of statistical reports, which I understand, will NOT contain my personal identification details
Up to five Canterbury Food Bank vouchers are normally allowed per household in a 12-month period. If you feel it is necessary to issue more than 5 vouchers please get in touch.
If a client is residing with friends or wider family, these are not classed as dependents and should not be shown on the voucher.