Tier 1 Monthly Statistics Report
This Form is due by the 5th of each month. If you did not distribute food during a month, please enter 0s in the designated areas and submit the form. Any questions can be directed to Laura Bender, the Agency Relations Manager, at LBender@chestercountyfoodbank.org.
Sign in to Google to save your progress. Learn more
Email *
Directions - Please Read Carefully:
ALL CLIENTS ARE NEW AS OF JULY 1st!!! For the month of July, all clients will be ‘New.’ A ‘New’ Household/Client is visiting your pantry for the first time and will fill out a Self-Declaration of Need Form for the month you are reporting on. A ‘Previously Registered’ Household/Client has already filled out a Self-Declaration of Need Form for the fiscal year. Households/Individuals only need to fill out one Self-Declaration of Need Form for each fiscal year (July – June).
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy