Free Meal Program Application

Apply for Free Meals Through Home Support Meals

Submit your application for the NY 1115 Waiver free meal delivery. Our team will contact you for a quick screening call to confirm eligibility.

Your Information

2 letters, 5 numbers, 1 letter (e.g. AB12345C)

Step 1 — Region

Step 2 — County

Required — please select your region and county

How Did You Hear About Us?

Family Members (Optional)

Add a Family Member

2 letters, 5 numbers, 1 letter

Still required — 9 fields left:

  • First name
  • Last name
  • Phone number
  • Date of birth
  • Valid Medicaid number
  • Home address
  • ZIP code
  • Region and county
  • Health condition