Hikone Online Food Order Form

Thank you for your participation in CAN's food program!

To receive a food delivery, this form must be submitted and received by CAN staff by 1:00pm on the day of food distribution.

You will receive an email confirmation when this form is submitted but to ensure your submission has been received, you may call CAN's Hikone Community Center at (734) 973-1183.

We aim to deliver each order to the unit listed in the order form by 3:00pm on the day of the distribution, however due to unforeseen circumstances, deliveries could be late or unfulfilled. If this does happen, you are encouraged to call the community center so that we can address your concern as soon as possible. We will do our best to provide the items requested in each form, however we cannot ensure you will receive what you request due to item and quantity limitations.

Food distribution dates at Hikone are every other Wednesday from 1-3pm starting on August 31, 2022.

The food we receive for distribution changes frequently and so we are unable to give an exact list of what we will have available. We will do our best to provide what you need and alert you promptly if we do not have an item you requested.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the agency (state or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

Mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
Fax: (833) 256-1665 or (202) 690-7442;
Email: program.intake@usda.gov.

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