Monthly Agency Report

Report information is due on the 10th of the Month. The report covers the previous month of distribution and service. A report needs to be submitted even when no food orders are placed.

Agency Type(Required)

Pantry/Meals

Senior Safety Net

Agency(Required)

Please select your agency from the Dropdown Menu.

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Neighborhood Distribution

Senior Safety Net

Please select your agency from the Dropdown Menu.

Person Completing Form

First Last

Email(Required)

Month Reporting

If reporting multiple months, please submit each month separately.

Which apply to your program:(Required)

MEALS

SNACKS

PANTRY

MEALS

Meals Served This Month?

For meal programs, how many total meals (# of people served at each meal) were served this month?

First Time Attendees?

For how many people is this their first time attending your meal distribution this year?

SNACKS

Snacks Served this Month?

How many total snacks did you serve to each person this month (# of people multiplied by the number of times you served a snack)?

First Time Attendees?

For how many people is this their first time attending your snack distribution this year?

FOOD PANTRY & NON-FOOD PANTRY

This section only if you operate some sort of pantry.

Households Served?

How many households were served by your pantry this month?

First Time Attendees?

For how many people is this their first time attending your pantry this year?

Pounds from OTHER SOURCES than Second Harvest

In general, 1 Item = 1 lb. Do NOT Include Second Harvest Food Bank Pounds in this section

How many pounds were donated to your organization this month?

How many pounds did you purchase at retail/wholesale stores this month?

What Client Success Stories have you had this month?(Required)

Comments/Questions/Concerns?

MEALS

SNACKS

FOOD PANTRY & NON-FOOD PANTRY

Pounds from OTHER SOURCES than Second Harvest

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INFORMATION

Monthly Agency Report