The LGBTQ Center OC’s Food Assistance program is available to individuals and families who reside in the Second District of Orange County (Huntington Beach, Newport Beach, Costa Mesa, Los Alamitos, La Palma, Fountain Valley, Buena Park, Cypress, Stanton, Seal Beach, or Unincorporated Rossmoor), and are experiencing food insecurity due to COVID-19.  If you meet this criteria, you may submit a request for food assistance.

Please complete this form in its entirety.  Grocery gift cards are limited.  We may not be able to fulfill all requests.

Name(Required)
Are you experiencing food insecurity due to COVID-19?(Required)
Are you unemployed?(Required)
Do you certify that the above information is true and correct?(Required)
Consent(Required)