Pantry Report


Agency Monthly Report

Please be sure to answer all questions as they pertain to your agency. Reports are due by the 5th of every month. Failure to complete will result in a hold on your agency, which could result in you losing all items in your shopping cart and not being able to order new items. 

Contact Name *
Contact Name
For Date Beginning *
For Date Beginning
For Date Ending *
For Date Ending
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If applicable
If you select grocer(s), please indicate poundage in onlinemarketplace.org
If not, please visit onlinemarketplace.org to do so now.