Are you a Resident of Peel - Brampton, Mississauga, Caledonia, a senior (65 years and above), or
A Low-Income Single-Parent Family? (Please, we will need your evidence of income for the Initial Intake.)
In the past 3 months, have you worried about running out of food?
☐ Often ☐ Sometimes ☐ Rarely ☐ Never
Have meals been skipped due to a lack of food?
☐ Yes ☐ No.
You may be eligible to access the CASE food pantry.
Please complete the form (all information is confidential)
This form is designed to help us better understand you and your dietary needs, preferences, and background so we can provide food that is safe, appropriate, and respectful of everyone we serve at CASE Community Services Food Pantry.All information you provide will be kept confidential and used only to improve and better serve you through our food pantry services.