Partner Agency Monthly Data Report
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1. INDIVIDUALS SERVED

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1. Organization Name:

Organization Name:

2. Total number of individuals requesting food assistance this month:

Total number of individuals requesting food assistance this month:

3. Total number of individuals receiving food this month:

Total number of individuals receiving food this month:

4. Total number of individuals requesting food that have previously received food from you this year:

Total number of individuals requesting food that have previously received food from you this year:

5. Total number of individuals you referred to other resources to receive additional assistance:

Total number of individuals you referred to other resources to receive additional assistance:

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