Agency Distribution Report Update Agency Distribution Report (Ex: December totals are due by the 5th Day of January) Report Date* YYYY MM DD Report for the month of:*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember*(The month you distributed the food, not the month you are turning this report in.)*(If you need to leave any fields below blank, please put N/A in the box.)Agency Code*Full Name of Agency:*FOR AGENCIES WHO PROVIDE FOOD BOXESPlease tell us the total number of families (households) served by your agency:*Please tell us the total number of individuals within these households:*Of the total families served tell us the number of families (households) who received USDA Food:*From the USDA Household Eligibility Criteria Forms tell us the number of people in these households:*Of the total families served tell us the total number of families who received GNAP Food:**From the GNAP Client Intake Forms tell us the total number of people within these households:*From the GNAP Client Intake Forms tell us the total number of families that are: *(Total of all three categories must equal number of GNAP Families)At-Risk Families:*TANF Clients:*Transitional Services:*Describe the needs/circumstances of a family who received GNAP this month:*FOR AGENCIES WHO PROVIDE ON-SITE FEEDINGPlease tell us the total number of individuals who received meals from your agency:*Please tell us the total number of meals served:*(Ex: 10 people served x 3 meals x 20 days = 600 meals served for the month) Please tell us the total number of individuals who received snacks from your agency:*Please tell us the total number of snacks served:*(Ex: 10 people served x 3 snacks x 20 days = 600 snacks served for the month)Please tell us how many total meals were served using USDA Product:*Please tell us how many total meals were served using GNAP Products:*Email*A copy of this report will be sent to this email. Enter Email Confirm Email UntitledFirst ChoiceSecond ChoiceThird Choice Click here to download the Agency Distribution Report Update Forum
