Meals on Wheels South Florida

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Apply for Meals

If you are age 60 or over, reside in Broward County, and are interested in applying for meals provided by Meals on Wheels South Florida, please complete the secure form below, and our Intake Department will reach out to you to complete a telephone screening.

Meals on Wheels South Florida can also deliver a 14-day supply of emergency meals to seniors in Broward County who are returning home from the hospital or suddenly find themselves in need of immediate assistance.

In addition, Meals on Wheels South Florida currently has partnerships with the cities of Coral Springs, Coconut Creek, Plantation, and Tamarac to provide nutritious meals to their residents. We are grateful for these partnerships and look forward to serving you!

Please Note: Application is best viewed on a computer.

Applicant Name*

Email*

Phone*

Address*

Building / Apartment #

City*

State

Zip

Birthday*

Jour

Mois

Année

Gender

Race

Ethnicity

Primary Language

Marital Status

Is the applicant a veteran?*

Yes

No

Does the applicant live alone?*

Yes

No

Is the applicant homebound?*

Yes

No

Is there a caregiver in the household?*

Yes

No

Can the applicant prepare frozen meals?*

Yes

No

Does the applicant have any dietary restrictions?*

Yes

No

If yes, please explain.

Is the applicant receiving food stamps?*

Yes

No

Does the applicant have enough money to buy food?*

Yes

No

Applicant's monthly income*

Has the applicant been hospitalized?*

Yes

No

If yes:*

Last month

Last 2-6 months

Last 7-12 months

Are you making a referral for self?*

Yes

No

Referring agency

Referral contact name

Referral contact number

Referral contact email address

Referral additional information

Is the applicant aware of this referral?

Yes

No

How did you hear about Meals on Wheels South Florida?*

Providing nutritious meals, friendly visits, and safety checks to South Florida's senior community.

© 2025 Human Services Network, Inc.

dba Meals on Wheels South Florida

4355 W. Sunrise Blvd., Plantation, FL 33313

Main Office: 954.731.8770

2025 Meals on Wheels America member badge

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