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 [email protected] 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 [email protected])

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.