2024 Monthly Report Form
REMINDERS:
-It is especially important on the monthly report form to enter the correct account number and to select the appropriate month and program type.
-Each Network Partner is required to submit a Monthly Report by the 10th of the month for the previous month.
-If your program is closed, please submit 0s 
-If you need to submit an amendment to a previously submitted report, please make note of this change in the “comments” section.
-After completing the form, you will receive a confirmation email with an attachment of the Monthly Report form submitted. If you do not receive a confirmation email within 24 hours, please contact the Network Partners and Programs department at 330.535.6900.
-Please keep hard or electronic copies of your Monthly Reports for 5 years.

Partner Name *
Account Number *
Note: Please submit one report per account number (if applicable). Please do not include multiple account numbers in this field. Please double check for errors. This number is used to link your monthly report to your account.
County *
Please select response
Month *
Please select the month for which this report is being submitted.
Year *
Please select the year for which this report is being submitted.
Your First and Last Name *
Your Phone Number *
Your Email Address *
Please double check for errors. This email address is used to send the confirmation email.
Program Type Guide
FOOD PANTRY
Distributes food to income-eligible individuals on a regular basis. The program must be open to the public and complete intake via TEFAP forms or FreshTrak. This program type includes Direct Distributions.

MEAL SITE AND/OR SHELTER
Meal: provides meals to community members experiencing food insecurity and is open to the public.
Shelter: provides temporary shelter and meals to community members experiencing homelessness or abuse.

CONGREGATE AND/OR RESIDENTIAL
Includes youth programs, residential programs, child or adult day care, senior programs, group homes, summer camps, school pantries, and non-emergency pantries.

BACKPACK
Backpacks include a minimum of two breakfasts, two lunches and snacks typically for the weekend and holidays when free and reduced-price meals are not available through school.

If you are not sure which program type to select, please contact the Network Partners and Programs department at 330.535.6900.
What type of program(s) do you operate? *
Note: If more than one program is under this account number, you will have the option to submit the second program after completion of the first. If you operate another program under a separate account number, please submit a separate Monthly Report.
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