Confidential Food Assistance Request

Request Grocery Assistance

Tell us what your household needs. Authorized ministry leadership reviews every request and coordinates approved Saturday delivery with dignity and care.

Food Outreach Page · Español

Food Assistance Request

Your information is sent privately to authorized RLGM leadership and is not displayed publicly.

Contact information

Your full namePhoneEmail, if availableEmail is required only when email is your preferred contact method.

Preferred contact methodCity and ZIP codeAutomatic service is currently limited to ZIP codes 77493 and 77494. Other areas require individual review.

Household information

AdultsChildrenSeniors or people with disabilities

Please briefly explain your current need

Is this need?Does your household have food for today?

Food allergies or medically important restrictionsOther dietary needs

Delivery information

Preferred SaturdayPreferred delivery window

Delivery addressAccess instructions or transportation limitationsWould prepared meals help your household if offered in the future?Referral source, if any I would like someone from the ministry to contact me for prayer. I certify that this information is accurate. I authorize approved ministry personnel to use these private details to review and coordinate food assistance. I understand that submitting a request does not guarantee assistance.