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
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





