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TEFAP & SFPP Quarterly Report 2018 - 2019
Every Member Agency receiving TEFAP and SFPP food is required to submit a Quarterly Statistical Report. Reports must be submitted to the Food Bank no later than the 15th of October, January, April and July. Please, complete the appropriate sections of the form below that match your program(s). Member Agencies failing to submit reports in a timely manner are subject to suspension.

If you already have an electronic copy of the monthly report form you may email it to report@chestercountyfoodbank.org and include the attachment.

Please use Google Chrome, Mozilla Firefox, or Microsoft Edge to complete this form. Internet Explorer is NOT compatible with the Monthly Reporting Form.

Agency *
Your answer
Date *
MM
/
DD
/
YYYY
Name of Person Submitting Report *
Your answer
Email of Person Submitting Report *
Your answer
1. SFPP & TEFAP Quarter *
Required
2a. Total Number of New Households Served this Quarter (SFPP July 1 is the start of this year).
Your answer
2B. Total Number of Unduplicated Households Served this Quarter (SFPP) (Household only attended one time during the quarter)
Your answer
2c. Total Number of new Children Served this Quarter (SFPP)
Your answer
2d. Total Number of new Adults Served this Quarter (SFPP)
Your answer
3a. Total Number of new Seniors Served this Quarter (SFPP)
Your answer
3b. Total Number of new Individuals Served this Quarter (SFPP Adults+Children+Seniors)
Your answer
3c. Total Number of Households Served this Quarter
Your answer
3d. Total Number of Services this Quarter
This is the number of services that were provided this quarter. For example, if a family of 4 came to your pantry 3 times this quarter, the number of individual services would be 12 (4 individuals x 3 visits = 12 services). This number includes self-declaration forms that are new and old for the quarter.
Your answer
3e. Number of Soup Kitchen Meals
This is the total number of soup kitchen meals that were provided during the current SFPP quarter.
Your answer
3f. Number of Shelter Meals
This is the total number of meals provided to shelter residents that were provided during the current SFPP quarter.
Your answer
4a. Total Number of New TEFAP Households(households are new as of October 1) Served this Quarter
Your answer
4b. Total Number of Unduplicated TEFAP Households Served this Quarter
Your answer
4c. Total Number of New Individuals Served this Quarter (TEFAP)
Your answer
4d.Total number of people (New and Old) served this Quarter (TEFAP)
Your answer
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