Double Up Food Bucks Michigan Grocery: ANNUAL REPORT

If your location operated the Double Up Food Bucks program during any time between September 1, 2032 - August 31, 2024, you must complete this report in addition to your usual monthly metrics report.

Site Name*

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About This Site

Multiple Addresses*

Do you operate Double Up Food Bucks in one location (a brick and mortar store) or multiple locations (e.g.: mobile markets, delivery sites, etc.)?

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Total Site Operating Months*

Enter the total number of months this site was operational (i.e., open to the public) during the past year from Sept 1, 2023 - Aug 31, 2024

Total Months Participating in Double Up Food Bucks*

Enter the total number of months this site operated Double Up Food Bucks during the past year from Sept 1, 2023 - Aug 31, 2024. In some cases this may be the same as total months operated, but not always.

How Does Double Up Work at This Site?

How is Double Up Food Bucks issued?*

How and where is Double Up ISSUED or provided to each customer at this site. Choose from the options below. AUTOMATIC 50% OFF SNAP customers use their EBT card to purchase groceries and automatically receive 50% off their eligible FV purchases. COUPON A SNAP customer purchases fruits and vegetables using their EBT card. The EBT card swipe activates the SNAP match and the Double Up amount shows up on the bottom of the receipt (e.g., like a coupon) to be used for future FV purchases. DIGITAL INCENTIVE DOLLARS ON DOUBLE UP CARD A SNAP customer purchases fruits and vegetables using their EBT card. The EBT card swipe activates the SNAP match and the cashier loads matching digital incentive dollars onto the Double Up card to be used for future purchases

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How is Double Up Food Bucks redeemed?*

How and where is Double Up redeemed by customers at this site. Choose from the options below. AUTOMATIC 50% OFF SNAP customers use their EBT card to purchase eligible produce and automatically receive 50% off their eligible FV purchases. COUPONS SNAP customers redeem coupons at check-out for eligible FV purchases. CASHIER SWIPES DOUBLE UP CARD USING APP OR POS SNAP customers use their Double Up Card to purchase eligible produce at grocery check-out. The cashier uses a tablet or POS system to swipe Double Up card to complete Double Up transactions.

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Financial Instrument for Double Up Food Bucks*

In what form is Double Up Food Bucks provided to customers at this site? Select all that apply.

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Other Financial Instrument*

SNAP Products Eligible to Trigger Double Up Food Bucks*

What are the allowable SNAP purchases that trigger Double Up Food Bucks at this firm? (i.e., What can a customer purchase with their EBT card to earn Double Up Food Bucks?) Select the category that best fits your incentive model.

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Other SNAP Products Eligible to Trigger Double Up Food Bucks*

Fruit and Vegetable Products Eligible for Double Up Food Bucks*

What fruit and vegetable products are eligible for Double Up Food Bucks at this firm? (e.g., What can a customer purchase with their Double Up Food Bucks?) Select the category(s) that best align with your incentive model.

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Other Fruit and Vegetable Products Eligible for Double Up*

What is the ratio of SNAP to Double Up Food Bucks earned?*

Select the ratio for SNAP dollars to Double Up Food Bucks earned for this site during this reporting period. For example, if every $1 spent on fruits and vegetables using EBT is eligible to earn $1 in Double Up Food Bucks, the ratio is 1:1.

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Other Incentive-level Ratio*

Double Up Food Bucks Earning Cap?*

Is there a cap to the Double Up Food Bucks amount a customer can earn at this site? (Yes/No)

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Double Up Earning Cap Amount*

What is your maximum amount of Double Up Food Bucks issued at one time?

Double Up Food Bucks Frequency*

How often can a customer earn Double Up Food Bucks at this site? Select one from the options below.

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Other Incentive Frequency*

If you selected "Other," explain how often a customer can earn Double Up Food Bucks below.

Additional Programs

Nutrition Assistance Benefits Programs*

During this reporting period, did this site accept any other nutrition assistance benefits? Select all that apply.

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Other Nutrition Assistance Benefits Programs*

Nutrition Education Activities*

During this reporting period, did this site offer nutrition education activities for incentive participants? This could have been done independently or collaboration with a community partner.

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Other Nutrition Education Activities*

Months Nutrition Ed*

Approximately how many months during this reporting period did this site offer nutrition education activities for incentive participants?

Auxiliary Services*

Did this site offer any auxiliary services for incentive participants during this reporting period? Select all that apply.

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Other Auxiliary Services*

Months Auxiliary Services*

Approximately how many months during this reporting period did this site offer auxiliary services for Double Up Food Bucks participants?

Marketing Activities*

Did this site advertise or promote Double Up Food Bucks in any way during this reporting period? Select all that apply.

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Other Marketing Activities*

Months Marketing Activities*

Approximately how many months during this reporting period did this site advertise or promote Double Up Food Bucks?

Questions/Comments

Questions or Data-Related Comments

Please provide a brief explanation for any data anomaly. If submitting a corrected report, please enter "This is a corrected report. Delete previous report for [SITE NAME] Sept 1 2023 - Aug 31, 2024."

Stories/Highlights

Please provide any stories, highlights, earned-media, or comments that relate to Double Up Food Bucks at this site. If possible, include a name and contact information for anyone who would be willing to talk about their experien

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