Please fill out the form below to report your monthly food distribution.

  • About You

  • This report reflects activity in the month of:



  • If You Distribute Food

    Please fill out this section:

  • 6 Years Old & Under
    Please enter a number from 0 to 1000.
  • 7-18 Years Old
    Please enter a number greater than or equal to 0.
  • 19-54 Years Old
    Please enter a number greater than or equal to 0.
  • 55+ Years Old
    Please enter a number greater than or equal to 0.
  • Please ensure this number matches the total number of people helped that you reported above.
  • Black or African American
    Please enter a number greater than or equal to 0.
  • Asian
    Please enter a number greater than or equal to 0.
  • Hispanic or Latino
    Please enter a number greater than or equal to 0.
  • White
    Please enter a number greater than or equal to 0.
  • American Indian or Alaskan Native
    Please enter a number greater than or equal to 0.
  • Native Hawaiian or Pacific Islander
    Please enter a number greater than or equal to 0.
  • Middle Eastern or North African
    Please enter a number greater than or equal to 0.
  • Multi-Racial/Ethnic
    Please enter a number greater than or equal to 0.
  • Client Prefers Not to Disclose
    Please enter a number greater than or equal to 0.
  • Other
    Please enter a number greater than or equal to 0.
  • Please ensure this number matches the total number of people helped that you reported above.


  • If You Serve Meals - Residential

    Please fill out this section (scroll down for community meals):

  • 6 Years Old & Under
    Please enter a number greater than or equal to 0.
  • 7-18 Years Old
    Please enter a number greater than or equal to 0.
  • 19-54 Years Old
    Please enter a number greater than or equal to 0.
  • 55+ Years Old
    Please enter a number greater than or equal to 0.
  • Please ensure this number matches the total number of people helped that you reported above.
  • Black or African American
    Please enter a number greater than or equal to 0.
  • Asian
    Please enter a number greater than or equal to 0.
  • Hispanic or Latino
    Please enter a number greater than or equal to 0.
  • White
    Please enter a number greater than or equal to 0.
  • American Indian or Alaskan Native
    Please enter a number greater than or equal to 0.
  • Native Hawaiian or Pacific Islander
    Please enter a number greater than or equal to 0.
  • Middle Eastern or North African
    Please enter a number greater than or equal to 0.
  • Multi-Racial/Ethnic
    Please enter a number greater than or equal to 0.
  • Client Prefers Not to Disclose
    Please enter a number greater than or equal to 0.
  • Other
    Please enter a number greater than or equal to 0.
  • Please ensure this number matches the total number of people helped that you reported above.


  • If You Serve Meals - Community

    Please fill out this section:

  • 6 Years Old & Under
    Please enter a number greater than or equal to 0.
  • 7-18 Years Old
    Please enter a number greater than or equal to 0.
  • 19-54 Years Old
    Please enter a number greater than or equal to 0.
  • 55+ Years Old
    Please enter a number greater than or equal to 0.
  • Please ensure this number matches the total number of people helped that you reported above.
  • Black or African American
    Please enter a number greater than or equal to 0.
  • Asian
    Please enter a number greater than or equal to 0.
  • Hispanic or Latino
    Please enter a number greater than or equal to 0.
  • White
    Please enter a number greater than or equal to 0.
  • American Indian or Alaskan Native
    Please enter a number greater than or equal to 0.
  • Native Hawaiian or Pacific Islander
    Please enter a number greater than or equal to 0.
  • Middle Eastern or North African
    Please enter a number greater than or equal to 0.
  • Multi-Racial/Ethnic
    Please enter a number greater than or equal to 0.
  • Client Prefers Not to Disclose
  • Other
  • Please ensure this number matches the total number of people helped that you reported above.