Food Rescue Request Form

Agency Name*

Type the name of your Agency below

Partnerships Coordinator*

Please select the name of your Partnership Coordinator.

Select

Food Rescue Opportunity*

Please see the Partner Portal for the most recent list of permanent Food Rescue Opportunities. Please keep in mind that all opportunities are available on a first come, first served basis.

Select

Remember:

Please only enter one store and one coverage date at a time. Submit this form multiple times if needed.

Once coverage has been submitted, you are no longer responsible for the pickup - DO NOT CONDUCT THE PICKUP

Donor Name and Store #*

Please select the donor from the dropdown menu below:

Select or enter value

Donor Feedback

Please share feedback (positive or negative) on donor relationships. Pictures are encouraged!

File Upload

Please upload any pictures that are relevant to the feedback you have shared.

Drag and drop files here or

Coverage Date*

Select the date you are requesting coverage for. Please note that if you are requesting coverage within 24 hours of the pickup, you must contact your Partnerships Coordinator directly in addition to submitting this form. REMEMBER, ONLY ONE DATE AND ONE DONOR PER FORM.

Pick Up Time*

Type in the appropriate pick up time. Can be a range.

Example: 9:00am-11:00am

Average Donation Size

What is the average amount of food this donor provides in one pick-up? If you do not have an exact amount, please give a reasonable estimate.

Agency Covering

Please enter the name of the Agency that will be covering your pick up if you have already confirmed with them.

Can Receive if Delivered (Volunteer Driver)

Please check the box if you could receive the donations on the day you are requesting coverage for, if a Feeding San Diego volunteer driver could deliver the donations.

Onsite Contact*

Please provide the name and phone number of the contact who will be onsite to receive the donations. This information will be shared with the volunteer driver.

Agency Delivery Address

Please confirm the address where donations should be delivered.

Delivery Time

What is the earliest and latest time you can receive these donations?

Mealconnect

I understand that I will need to accept a Realtime Post on Mealconnect that will be sent to me in order to conduct this pick up.

Important Notice!

Please wait for confirmation from your Coordinator before starting your pick up(s). All opportunities are available on a first come, first served basis.