Feeding Our Neighbors
in Northern Illinois

Thank you for inquiring about donating food to Northern Illinois Food Bank! This form is for food industry organizations wanting to donate product. Our network relies heavily on industry donations to close the food insecurity gap in our thirteen county service area. Thank you for supporting our mission to provide the food needed for our neighbors to thrive!

Contact Information

Name *

First

Last

Email *

Company Name *

Company Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Product Information

Product Description *

Please describe your donation in detail. This information will help us determine if we can accept it in its current condition.

Pictures of Product

Click or drag a file to this area to upload.

Uploading pictures can help us determine if we can accept the product in its current condition.

Reason for Donation *Close to ExpirationRejected by CustomerPromotion/MarketingExcess InventoryLabeling Error/ChangeDamagedOther, Please Describe

Product Storage *DryRefrigeratedFrozen

Product Expiration Date *

If not included, please enter product manufactured date.

Product Packaging Type *RetailFoodServiceBinned/ToteOther, Please Describe

Number of Cases

Units Per Case

Number of Pallets *

Does each individual item have an ingredients list? *

• Yes
• No

How will the product be delivered to Northern Illinois Food Bank? *

• We will deliver
• Product needs to be picked up

Please note: Our pickup transportation services can be limited. We strongly encourage deliveries to our facility, if possible.

Please choose the Food Bank Center you will deliver to.

• West Suburban Center in Geneva (273 Dearborn Court, Geneva 60134)
• North Suburban Center in Park City (440 Keller Drive, Park City 60085)
• Northwest Center in Rockford (765 Research Parkway, Rockford 61109)
• South Suburban Center in Joliet (171 S. Larkin Avenue, Joliet 60436)

Address of Pick-Up Location

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Additional Notes/Comments:

Submit