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 - Please use the dropdown to search and select your Agency Name. You can search using your Agency Name or Agency Number.
Partner Agency Name & Number
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PDF Copy of Agency Name & Number
*
My Pantry is located in the following area
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Chesapeake, Portsmouth, or Virginia Beach
Eastern 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
*
Format: (000) 000-0000.
Report Month
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Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Report Year (i.e. 2025)
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Please Select
2025
2026
Are you currently using Service Insights on Meal Connect (SIMC)?
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Yes
No
If you are using SIMC, you only need to report numbers if you are a congregate feeding site and/or delivering to seniors. If you are using SIMC and are a TEFAP agency, you need to upload your inventory and temp log reports using this form.
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Are you a Congregate Feeding Program? (Congregate Feeding programs prepare meals to feed individuals/families.)
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Yes
No
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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
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# of meals served to Adults age 18-59
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# of meals served to Seniors age 60+
*
If your program is only congregate feeding, click submit and you are finished. Otherwise, click NEXT.
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Do you deliver food?
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Yes
No
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How many households do you deliver to?
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Are you a USDA - TEFAP Agency?
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Yes
No
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Numbers should match with the numbers on your USDA Monthly Report (Inventory/Intake form).
TEFAP # of New Individuals Served
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TEFAP # of New Households Served
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TEFAP # of Returning Individuals Served
*
TEFAP # of Returning Households Served
*
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Pictures of your documents can no longer be uploaded. You must save the document as a pdf, Word file, Excel file.
Please make sure your documents follow the necessary naming convention: Monthly Inventory Files Format: month.year INVENTORY Agency ID Number (Example: 01.26 INVENTORY A0123) Monthly Temperature Log Files Format: month.year TEMP LOG Agency ID Number (Example: 01.26 TEMP LOG A0123)
Upload TEFAP Temp Log (only required for storing more than 12 hours)
Browse Files
Drag and drop files here
Choose a file
File name must be in the following format: month.year TEMP LOG Agency ID Number (Example: 01.26 TEMP LOG A0123)
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Upload USDA Inventory Form
*
Browse Files
Drag and drop files here
Choose a file
File name must be in the following format: month.year INVENTORY Agency ID Number (Example: 01.26 INVENTORY A0123)
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If you have been using SIMC for more than 30 days, click submit.
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Monthly Report Numbers
If you didn't serve anyone in an age category, enter zero in that box.
# of Children age 0-17
*
# of Adults age 18-59
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# of Seniors age 60+
*
Total # of Households
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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.
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