DOUBLE UP FOOD BUCKS NY FARM DIRECT MONTHLY REPORTING

This report collects monthly metrics from farmers markets, farm stands, and mobile markets operating the Double Up Food Bucks NY GusNIP-funded SNAP incentive programs.

Instructions:

  • Reports are due on the 10th of each month.
  • Reports are only accepted using this online form.
  • Reports are only accepted one month at a time. Please do not use this form to combine multiple months.
  • If you are unable to track a metric, simply input 0.
  • Please have all Supporting Documents ready at the time of report submission. There are instructions on how to submit those.
  • IMPORTANT NOTE: The form will time-out after a period of inactivity or if you leave the tab/window to work in another tab/window. Please have all information readily available before beginning to input data on the form.

If you have any questions please reach out to Jake Kowal at jkowal@fieldandforknetwork.com or (937) 272-8314

Report Type:

Date Uploaded:
Submitters's First Name:
Submitters's Last Name:
Preferred Method of Contact:

Month:

Year:
Site Name FP:

Total Operating Days:
(How many total days did you operate Double Up at this location this month?)

Operating Hours:
(On average, how many hours per day is this site open?)

Number of Fruit and Vegetable Vendors:
(Enter the total number of fruit and vegetable vendors participating in Double Up at your site this month. Enter 1 for mobile markets and farm stands.)

Double Up Distributed (Earned):
(Double Up Distributed to customer for the month. Do not add a $.)

Double Up Redeemed (Spent):
(Double Up Redeemed (Spent) by customers for the month. Do not add a $.)

Double Up Transactions:
(# of Double Up Redeem transactions for the month.)

New Double Up Customers:
(Enter the total number of new Double Up Food Bucks customers this month.)

Number of Unique Double Up Customers:
(This is the total number of participants during the previous month that used Double Up at your site.)

SNAP Sales:
(Total dollar value of SNAP sales for the month. Do not add a $.)

SNAP Redeemed:
(Dollar value of SNAP redeemed for the month. Do not add a $. This number is the same as SNAP sales for mobile markets and farm stands not using tokens.)

SNAP Transactions:
(Total number of SNAP transactions for the month.)

Marketing Needs (optional):
(Do you require any additional marketing materials or would like to speak/meet about marketing Double Up at your site?)

Data-related Comments or Explanations (optional) :
(Please provide a brief explanation for any data anomaly (e.g., a spike, dip, weather, pandemic). If submitting a corrected report, please enter "This is a corrected report. Delete previous report for [site] [reporting period].)

Stories/Highlights (Optional):
(Please provide any stories, highlights, earned-media, or comments that relate to your program. If possible, include a name and contact information for anyone who would be willing to talk about their experience.)

Token Markets - Email Backing Documents
If using tokens, please email the Excel, PDF, or other file that accounts for weekly Double Up and SNAP tracking over the month to Jake Kowal at jkowal@fieldandforknetwork.com)

Talk to Us

Thank you for answering a few questions about Double Up. We use the information you provide to help improve Double Up Food Bucks for everyone.