Register Beneficiary — MealsOnWheels

Personal

Eligibility

Meal Plan

Review

Full name

Age

Phone number

Enter N/A if the beneficiary has no phone

Gender

Address

Additional notes

Any context that will help the committee make their decision

Beneficiary category

Sick or Elderly Limited or no family support available

Orphan / Child No parental or guardian support

Unemployed Recently lost income, unable to provide food

Homeless No access to shelter or regular food source

Physical Disability Unable to prepare or collect food independently

Other Described in the notes section

Eligibility confirmation

This individual is currently unable to provide adequate food for themselves or their family. I have personally visited or spoken with this beneficiary and verified their situation. The information provided above is accurate to the best of my knowledge.

Meal type

Cooked Food Prepared meals — for those unable to cook

Raw Ingredients Food supplies — for those who can cook

Combination Both cooked meals and raw ingredients — for special cases (pregnancy, large families, specific dietary needs)

Delivery frequency

Assistance duration

All assistance is capped at 2 months before a renewal review is required, in line with SSVP guidelines.

✓

Registration submitted!

The beneficiary has been added to the review queue. The society committee will assess this submission at the next meeting.

Reference: —

Register a Beneficiary

Personal Details

Eligibility Criteria

Meal Plan

Review & Submit

Registration submitted!