Fresh Bucks Waitlist Application4 of 12

Note: Fields marked with a * are required.

Based on your responses, you qualify for Fresh Bucks. Please complete the Fresh Bucks Waitlist Application to indicate your interest in the program. IMPORTANT NOTE: Our enrollment is currently full.

IMPORTANT NOTE: Submitting an application does not enroll you in the program—but it does add you to the waitlist. You will be considered for Fresh Bucks benefits when they are available. Enrollment is based on a randomized selection process. If your application is selected, you will be notified directly via mail and email.
 

Please keep your mailing address and email address current with the Fresh Bucks Program via freshbucks@seattle.gov or (206) 256-5438.