• Agency Information


  • Report for (month/year)

  • Onsite

  • Pantry Feeding Program

  • Pantry Reporting - Household served 

  • Total number of MEALS served during the month
    (not including supplemental snacks)

  • Total number of supplemental SNACKS served during the month

  • How many total clients, by age group, did you serve this month? (only count per individual Household based on #2 or served)

  •  Additional information

  • Person Preparing This Report

  •  -
  •  
  • Should be Empty: