San Antonio Food Bank
Monthly Agency Report
Please submit report with sources and poundage of outside resources if you use them. This information will help us better meet the needs of your agency in serving your clients.
This report is due by the fifth day of every month and is required by all agencies.
Failure to submit this report will result in product hold until all reports are received.
Notice: Agencies on hold for reports that bring in the late reports on their scheduled warehouse pick-up day will not be allowed to receive products, as the hold will not be lifted in our computer system until after the warehouse closes for the day.
Name of Agency
Agency Zip Code
Please input the zip code for your agency physical location.
Agency Monthly Report
Food Fair Report
Mobile Pantry Report
Month Reporting For
- Select -
- Select -
Total Number of Families Served
Total Number of People Served
Total Number of New Clients Served
Total Number of Days Serving Food Assistance
Total Clients Served by Age and Gender
If you did not serve anyone, please mark a 0 in all appropriate spaces.
Over 60 Years
Predominant population served this month (i.e. ethnicity, gender, ages, disabilities, etc):
Categories of Your Clients
To the best of your knowledge, indicate in percentages which categories comprise the majority of your clients this month.
People with Chronic Illness (HIV, Kidney, Alcoholism, Substance Abuse, Cancer, etc.)
Other (Women, Children, Working Poor, Undocumented Clients, etc.)
For Soup Kitchens, Group Homes, Shelters, Senior Centers, Daycares, Etc.
Please indicate for us any other sources of food your agency utilizes to stock your food pantry or food program.
Pounds Received from other Donor(s)
Please verify your information before submitting.
Yes, I have verified my information.
Do Not Fill This Out