Self referral registration

if you are new to the foodbank or have used our services previously, you must complete this registration form. this is to enable you to make a self-referral, without the need of going through a referral agent. 

Upon successful registration, you will receive a login password that is solely for your use, to make a self-referral. Please ensure that you keep this information safe, should you need to refer at a future date.

Once you have logged in with this password, you must then complete the Self Referral Page. This service is only for those in financial hardship which will require evidence in order to receive foodbank support. You can only avail of this service 3 times within a 3 month period. Failure to provide evidence of your financial hardship will result in a refusal. If you agree to these terms, please continue to register below.