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Need Support?

Select Service
Do you live in Ellis County/Vives en el condado de Ellis?*
Yes
No

C.A.R.E. Services currently only serves Ellis County, TX. To find a local food pantry, please visit https://ntfb.org/food-assistance/find-a-food-pantry/. 


C.A.R.E. Services actualmente solo presta servicios en el condado de Ellis. Para encontrar un banco de alimentos local, visite https://ntfb.org/food-assistance/find-a-food-pantry/.

Name of household member/ Nombre del miembro de la unidad familiar*

Address(if available)/Direccion (si disponible)*

NOT INCLUDING YOURSELF/SIN INCLUIRSE A SI MISMO

PERSON YOU AUTHORIZE TO PICK UP IN YOUR PLACE/PERSONA QUE USTED AUTORIZA PARA REPRESENTARLO

Do you or anyone in your household receive SNAP benefits
Yes
No
Do you or anyone in your household receive any of the following assistance or benefits/Usted o alguien en su hogar recibe alguna de las siguientes ayudas o beneficios?
C.A.R.E. Services is an Equal Opportunity provider. Do you agree that you have willingly provided this information/C.A.R.E. servicios es un proveedor que ofrece igualdad de oportunidas. Acepta haber proporcionado voluntariamenta esta informacion?
Yes/Si
No/No
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