Great Plates Program - Administered by Age Well
NOTE: FOOD PROVIDERS DO NOT INTENTIONALLY PROVIDE FOOD CONTAINING OR EXPOSED TO PEANUTS OR TREE NUTS OR OTHER COMMON ALLERGENS. FOOD PROVIDER PROCURES FOOD INGREDIENTS WHICH IT BELIEVES ARE FREE OF NUTS AND OTHER COMMON ALLERGENS BUT IT DOES NOT CONTROL AND CANNOT BE RESPONSIBLE FOR THE ACCURACY OF LABELING OR OTHER ACTIONS OF THIRD- PARTY SUPPLIERS. ACCORDINGLY FOOD PROVIDERS DISCLAIMS RESPONSIBILITY FOR SERVING FOOD WHICH CONTAINS NUTS OR OTHER COMMON ALLERGENS.
- It is very important that we have clear information and contact details in order to deliver food properly. Please enter the name and phone number of the primary contact for meal deliveries. After that, we will ask for any additional instructions you may have. Finally, please enter information about a helpful neighbor and an emergency contact.
You must agree to secure your dog in order to participate in the Great Plates Program.
Participants must provide 48 hours notice if there are any changes to the delivery instructions. Further information on how to communicate these changes will be given in your confirmation email.
I agree that Age Well Senior Services may collect the information necessary to administer this program. I also understand that I may receive materials from Age Well Senior Services as part of my participation in this program.
Applicant Hereby Attests to the Following Statment
Under penalty of perjury, I hereby attest that I am 65 years of age or older, or age 60-64 with high risk as indicated by my stated medical condition; I live alone or only with another program-eligible adult; I am unable to prepare meals or access additional food resources as a result of the self-isolation period; I do not currently receive any assistance from a federal nutrition program and do not exceed the stated annual income of $74,940 as a single individual or $101,460 in a household of two. I agree to release my name, address, phone, email and dietary information to complete the appropriate referral to obtain restaurant meals.