Round 2 Grocery Gift Card Program Application


Please fill out the application below.


Please reply to all questions below for your application to be considered complete. By providing a response to any of these questions, you certify that you can provide proof to support your response to the City of Redlands.


Acceptable file formats: .jpg, .gif, .png, or .pdf

Acceptable file formats: .jpg, .gif, .png, or .pdf

Application Certification and Signature

I certify that the information provided by me on this application is true and accurate and will provide verification if requested. I understand that transfers of gift cards are not allowed and may result in program termination if gift cards are sold, transferred, or used for any other purpose other than for the purchase of food items. If approved, every month I will certify by signature that I meet the eligibility requirements of this program and will notify the city within 30 days of any changes to my eligibility. I acknowledge that the completion of this application does not in any way indicate eligibility or approval. I acknowledge that due to the limited funds available for this program, some qualifying applications may not be approved. Your electronic signature is the legal equivalent of your manual signature on this application.