Tips for Filling
Out this Form
How to report Regular Service: This is an unduplicated number. Each household counted here should be different. Therefore, only count a family's first visit this month in this section.
How to report Extra Service: If you serve the same family more than once this month, report their additional visits here. For instance, if the same family comes three times this month, record their last two visits in this section.
How to report Pounds and Vouchers: Everything that you distribute to a family during their food pantry visit should be reported here. That includes food and non-food products and cash or product vouchers redeemable at a store. All food and non-food items should be weighed on a scale if possible. For vouchers, you may use the formula: 1 dollar = 1 pound.
How to report First Visits by Individuals: This is the number of people served this month for the first time this year. For example, if a mother comes for the first time in February and she has three children, enter four. If she visits in subsequent months, include her only in the Regular or Extra Service area but NOT in the First Visits by Individuals field.