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SCN Food Support Application

Weekly ready-to-eat meals delivered to eligible Bronx residents — at no cost to you — through the Social Care Network.

🔒 100% Confidential💵 No cost to you🛡️ No Social Security number required

Fields marked * are required.

Filled out by (VA or Navigator) *

Start typing your name and pick it from the list — VAs and Navigators are both here.

How did we get this member? *

Cold call from one of our lists, they came in from an advertisement, or they called us.

I Consent and Authorize RM Support to Process My Application and Contact Me by Phone, Text, and Email *

By checking this box, I consent to receive text messages about appointment reminders, account notifications, and general customer care from RM Support at the phone number I provided. I acknowledge that my consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Reply HELP for assistance or STOP to opt out of receiving messages. I have read and agree to the Terms of Service and Privacy Policy.

Your answers are kept on this device as you type. The application is only filed when you press Submit.

Questions? Contact us

📞 929-642-1830

✉️ office@rmsupportva.com

A Social Care Network food program, in partnership with

🔒 Your information is secure & private.

SCN Food Support Application

Staff Use — VA Tracking

Program Information

Application Info

Health & Household

Preferences & Review

Questions? Contact us