Food Pantry

This pantry is currently serving Goshen County Wyoming.

No income qualification is required to receive food. A question is asked about income for our TEFAP program. If you qualify you receive additional food.

You may shop once a month. If you need food more frequently than that, then you may request permission from a case manager at 307-532-0269.

Our food pantry is located at 1933 Main Street. We are currently serving pre-bagged food servings in our alley due to COVID 19. Please complete the form below to register for the food pantry and to select your time. The pantry is available from 1pm to 3pm every Friday.

Today's Date *

Date

Appointment *

Name *

First Name Last Name

Name of Person or Agency picking up for you

Only complete if someone other than you is picking up food on your behalf.

Your Address *

Street Address

Street Address Line 2

City State

Zip Code

Your Phone Number *

Or a message phone if you don't have one.

Your Email

If you provide an email, you will receive a copy of your application.

# of Children in Home (0-18) *

# of Adults in Home (19-59) *

# of Seniors in Home (60+) *

We have TEFAP food available if you qualify. Check the information below. If you make less then the amount shown for your size of family. You qualify. Choose Yes on the next question and we will add TEFAP food to your groceries. If you don't choose no and you will still get awesome groceries.

Household Size	Maximum Monthly Income	Maximum Annual Income
1	$1,383	$16,588
2	$1,868	$22,412
3	$2,353	$28,236
4	$2,839	$34,060
5	$3,324	$39,884
6	$3,809	$45,708
7	$4,295	$51,532
8	$4,780	$57,356
Additional	$486 per person	$5,824 per person

I certify that I qualify for TEFAP *

Yes No

Appointment