Meal Delivery Interest Form

Thank you for your interest in receiving meals from Meals on Wheels of Mercer County, New Jersey.

In order to receive meals, you must meet the following eligibility criteria:

  • Must be 60 years of age or older 

  • Reside in Mercer County

  • Require help to leave your home 

  • Experience difficulty preparing meals or accessing food 

  • Have a medical condition that limits mobility 

  • Have no life-threatening food allergies  

 

Please answer the questions below on behalf of yourself, your client, your friend or family member.

Eligibility Requirements
I am 60 years of age or older
I reside in Mercer County, New Jersey
I am unable to shop or cook for myself due to medical condition, illness or disability
I DO NOT have any life threatening food allergies
Application
Meal Delivery Address
Preferred Contact Method
Live Alone?
Ethnicity
Dietary Preferences (if any)
Food Texture Preferences (if any)

I am sorry you do not meet the eligibility requirements.

Please contact the Mercer County Nutrition Program for the Elderly at 609-989-6650 if you are over the age of 60. 

If you are under the age of 60, please call our office at Meals on Wheels of Mercer County at 609-695-3483 for further information.

Thank you.
 

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