Food Parcel Self-Referral Form

Please complete the form below to self-refer to our food bank for yourself or someone you know, giving a short explanation of why the food parcel is required.

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In repsonse to these challenging times, we are currently allowing self-referrals to our food bank, for individuals and families in South Tyneside experiencing food poverty,


If you find yourself in need of a food parcel due to a change in your circumstances and do not have access to a keyworker through DWP or local agency, please complete the form opposite and advise us of your situation. We will respond to your request within one working day and conduct a short telephone assessment to provide you with an emergency food parcel.