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OW Client Referral Form

Use this form to refer an Ontario Works client to the Halton Food Connect program to learn more about monthly food box deliveries. Once submitted, a member of our team will be in touch with the referred client within 1-2 business days to share more information about registering for the program, what to expect, and answer any questions they may have.

Client Name *
Phone Number *
Client Email address
Name of Referring Case Manager *
Additional Information or Comments
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