Looking for help?
This program is for adults younger than 60 years old who are too ill or disabled to leave their homes to access our other programs. If you are age 60 or older and in need of home delivery, please apply for our Senior Brown Bag program, which has a limited number of openings for delivery. The Homebound Delivery Program requires having a medical referral from either a hospital discharge planner, social worker, home health worker or medical professional. Please view the income guidelines below and call us at (707) 445-3166 extension 303. Or download the application below and either drop it off, fax, or mail it to us.
More about the Homebound Delivery Program
The Homebound Delivery Program provides a monthly bag of groceries for up to 100 individuals under 60 years of age who are too ill or disabled to leave their homes. Services may be provided on either a short-term or long-term basis, depending on the nature of the illness or disability. Some of our program participants are recovering from surgery or treatments, while others may be coping with a terminal illness. Referrals are required and accepted from hospital discharge planners, social workers, home health workers, medical professionals, etc. This program is completely supported by local donations.
Each bag consists of a variety of USDA and locally donated foods, bread and up to 10 lbs of fresh produce. We do our best to include specific items requested as medically necessary for a certain type of diet. Food boxes are delivered by volunteers to recipients in Bridgeville, Eureka, Fortuna, Loleta, Manila, Arcata, McKinleyville, Rio Dell and Trinidad.
Eligibility for the Homebound Delivery Program is based on income:
Household of 1 = $2,445.96
Household of 2 = $3,311.54
Household of 3 = $4,177.13
Household of 4 = $5,024.71
Each additional = Add $865.58
(*income limits last updated January 2020)
To apply for the Homebound Delivery Program, you must download and fill out two forms:
1. Click here to download the application form for the Homebound Delivery Program (same form as Brown Bag application).
2. Click here to download the required medical referral form. Completed and signed applications must include the referral form (to be filled out by a medical provider).
Both forms can be mailed to or dropped off at Food for People, or faxed to us at (707) 445-5946. If you are age 60 or older, you do not need a medical referral. Instead, please apply for our Senior Brown Bag Program, which has a limited number of openings for home delivery. Please contact the program coordinator with questions at (707) 445-3166 ext. 303 or email@example.com.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
(1) mail: U.S. Department of AgricultureOffice of the Assistant Secretary for Civil Rights1400 Independence Avenue, SWWashington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: firstname.lastname@example.org.
This institution is an equal opportunity provider.