Monthly-Report

Partner Agency Monthly Report
Things to Remember

- Reports are due on the 1st and late after the 7th of each month - If you want to save a copy of the report, click on Preview PDF before you click Submit - Your Agency # begins with an "A" and has 4 digits (A0264) after it unless you are on the Eastern Shore. If you are on the ES, your agency # begins with AES and has 3 digits after it (AES040).
Agency Number*
Partner Agency Name*
My Pantry is located in the following area*

Chesapeake, Portsmouth, or Virginia BeachEastern Shore, Norfolk, or Western Tidewater
Contact Person's Name*
Contact Person's Email (you will receive an email copy of the report if you enter an email)*
example@example.com
Contact Person's Phone*
Month*
Year (i.e. 2025 - enter 4 digits)*

Are you a Congregate Feeding Program? (Congregate Feeding programs prepare meals to feed individuals/families.)*

YesNo

Please enter number of meals served. If you can break it down by age group, please do. Provide number of meals served to children, adults, and seniors. If you can't break it out, list the total number in ‘Adult 18-59’. If you didn't serve anyone in an age category, enter zero in that box.
# of meals served to Children age 0-17*
# of meals served to Adults age 18-59*
# of meals served to Seniors age 60+*
If your program is only congregate feeding, click submit and you are finished. Otherwise, click NEXT.

Numbers should match with the numbers on your USDA Monthly Report (Inventory/Intake form).
TEFAP # of New Individuals Served*
TEFAP # of New Households Served*
TEFAP # of Returning Individuals Served*
TEFAP # of Returning Households Served*

Pictures of your documents can no longer be uploaded. You must save the document as a pdf, Word file, Excel file.
Upload TEFAP Temp Log (only required for storing more than 12 hours)

Cancelof
Upload USDA Inventory Form*

Cancelof

New: Individuals whose first visit was this month. Enter numbers below.

USDA AGENCIES - PLEASE INCLUDE BOTH USDA & NON-USDA INDIVIDUALS FOR THESE TOTALS .
If you didn't serve anyone in an age category, enter zero in that box.
# New Children age 0-17*
# New Adults age 18-59*
# New Seniors 60+*
Total # New Households*
Do not add all the children, adult, and senior numbers for this box. Households are the # of households served, not number of total people served. Ex: one household would include 2 children, 2 adults, and 1 senior. That is 5 total people, but 1 household.
Returning: Count all individuals who received food this month, but are not a new client, and place those numbers below:

USDA AGENCIES- PLEASE INCLUDE BOTH USDA & NON-USDA INDIVIDUALS FOR THESE TOTALS
# Returning Children age 0-17*
# Returning Adults age 18-59*
# Returning Seniors age 60+*
Total # Returning Households*
Do not add all the children, adult, and senior numbers for this box. Households are the # of households served, not number of total people served. Ex: one household would include 2 children, 2 adults, and 1 senior. That is 5 total people, but 1 household.
Thank you for submitting your information!
Should be Empty:

Partner Agency Monthly Report