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Agency Forms

New! Partner Agency Renewals

It’s time to renew your partnership with the Food Bank of the Southern Tier. For your convenience, we are pleased to inform you that we are accepting all forms electronically! All of the forms are included in one PDF document – simply download this form, fill in all required fields (some with new features such as drop-down menus), and save them to your computer. You will then attach the completed form into an email and send it to Completed applications are due by Wednesday, December 21st, 2016.  Click here to download the Renewal Form.

Thank you for all that you do to help end hunger in the Southern Tier! We look forward to our continued partnership in 2017!

Bethany Britton
Agency Services Assistant
(607) 796-6061 ext.4052

New! Agency Capacity Questionnaire

In addition to completing the 2017 Partnership Renewal, we ask that pantry representatives please fill out this short questionnaire. This questionnaire is for pantries only and is a tool to help the Agency Services Team at FBST better help our partner agencies build their capacity to serve people in need in their community.

The goal of this questionnaire is to update our information on each pantry so we can do as best a job as possible offering resources and support for our partner agencies. Link to questionnaire:

The form should take about 10 minutes to fill out.

Thank you for your time!

Please contact Lyndsey Lyman, Agency Capacity & Engagement Coordinator, with any questions:
(607) 796-6061 ext.4017

New! HPNAP OS/CE Documentation
(posted Dec. 7, 2016)

Reminder:  The first half of the HPNAP OS/CE documentation is due to Vickie Steck by January 13, 2016 for the fiscal year of 2016-2017. This is for expenses incurred from July 1, 2016 through December 31, 2016. Click on the links below for each expense form. 

If you have any questions, please contact Vickie Steck at or 607.796.6061 x4016.

Additional Agency Forms
Monthly Stat Sheet for Pantries
Daily Distribution Log for Pantries
Refrigerator and Freezer Temperature Log
Glossary of Terms

For more information contact:
Vickie Steck, Agency Services & Compliance Coordinator
at 607.796.6061 x4016 or email

388 Upper Oakwood Ave.
Elmira, New York 14903

Phone: 607.796.6061
Fax: 607.796.6028
Hours: Mon.-Fri. 8-4

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A regional agency of Catholic Charities and a member of Feeding America.

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