If you or your loved one meets the eligibility requirements (CLICK HERE to review eligibility requirements),  please contact our Meals on Wheels Program Coordinator at (757) 898-4252.  You can also apply on line using the form below.  Please complete all of the information you can and click the POST YOUR REQUEST button at the bottom.  We will set up a time for an interviewer to come by to get further information related to meal delivery. 

 

Please enter the letters displayed above. First Name for Meal Recipient: Last Name for Meal Recipient: Email Address for Meal Recipient: Phone Number for Meal Recipient: Street Address for Meal Recipient: City for Meal Recipient: State for Meal Recipient: Zip Code for Meal Recipient: First Name for Contact Individual: Last Name for Contact Individual: Email Address for Contact Individual: Phone Number for Contact Individual: Additional Comments: