Fill Out this form to apply for Food Delivery

Please only enroll on this site one time. Once enrolled, we will call you to arrange delivery. For other services like benefits navigation, click Learn More.

To change any personal information after submission contact: food@benefitsinaction.org

Food Delivery Application

NOTE: We currently only deliver in these counties:

  • Adams
  • Arapahoe
  • Denver
  • Jefferson


  • American Indian or Alaskan

  • Black or African American

  • Hispanic, Latino or Spanish Origin

  • Middle Eastern or North African

  • Native Hawaiian or Other Pacific Islander

  • Asian

  • White

  • White Hispanic

  • Other Race Not Listed

  • I Prefer Not to Say