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Agency Report Forms

Attention - Temporary Fee Changes

Effective January 17, 2012  through March 1, 2012 

  • The COAP fee will be 50% of cost.
  • The shared maintenance fee will be $.10 per pound.

Montly Report Forms

  • Buchanan County (revised 01/11)
  • All Others (revised 01/11)

Wal-Mart Reporting Logs

USDA Nondiscrimination Statements TEFAP & CSFP


Instructions for Monthly Report Forms:

Interactive PDF format:  Adobe Acrobat Reader required
This is an interactive form.  This means you can complete the form on your computer and email it back to Second Harvest by clicking on the "send" button at the bottom of the page. 

Excel format:  Email the completed form to

Instructions for the Wal-Mart Reporting Logs

Interactive PDF format:  Adobe Acrobat Reader required
This is an interactive form.  This means you can complete the form on your computer and email it back to Second Harvest by clicking on the "send" button at the bottom of the page.

Excel format: Complete the form and at the end of the pick-up week and email the file to