Congregate 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. Questions? Call your agency relations coordinator at (573) 474-1020.

Contact Name *
Contact Name
For Date Beginning *
For Date Beginning
For Date Ending *
For Date Ending
Count each individual only once per month regardless of how many times the person had a meal.
If applicable
If yes, please enter poundage at onlinemarketplace.org
If not, please do so now