Double Up Food Bucks Michigan

Monthly Report for Grocery Stores

Use one form per month. Multiple months may not be combined into the same form. Please have your supporting documents ready to upload with your report.

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If your firm name is not shown in the drop-down list above, enter it here.

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Please check for accuracy.

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You are submitting a report that is more than 30 days past due. All monthly reports are due on the 8th of the following month. If your monthly report is submitted more than 30 days after the 8th of the following month, you MUST provide an explanation why the report you are submitting is more than 30 days past due.


Fair Food Network reserves the right to review Explanations for Late Reports and reimburse redemptions submitted via a Late Report (more than 30 days past due) at its own discretion. Please be mindful of this and submit future monthly reports on time, no later than 8 days after the end of the month.

Store Operating Hours

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For example, if a store is open every day in March, you would enter "31" since there are 31 days in the month of March.

On average, how many hours per day is this site open? For example, if open from 8am-8pm most days, you would enter "12" since the store is open an average of 12 hours per day.

SNAP Sales and Transactions

Enter the total dollar amount of EBT/SNAP sales tendered this month. Dollar value should only be $0.00 in the case that no SNAP EBT sales took place for the reported month.

Enter the total number of SNAP EBT transactions for this report month. Transaction count can only be "0" if no SNAP sales took place for the reported month.

Double Up Disbursed/Distributed and Redeemed

Enter the total dollar amount of DUFB that was issued (aka disbursed or distributed) to participating customers at this store this month.

Enter the total dollar amount of DUFB that was redeemed (aka spent) by participating customers at this store this month.

Ability to track the number of DUFB Redemption transactions*

Is your site able to track the number of transactions that included a DUFB redemption (aka spend)?

Enter the total number of transactions in which a customer redeemed (aka spent) DUFB. Enter spend transaction count only, not the combined count of earn+spend transactions.

PARTICIPANTS

Enter the total number of eligible participants (i.e.: unique SNAP shoppers) this month.

Ability to track unique DUFB customers*

"Unique DUFB customers" is the number of individual customers (without double counting) who earned or redeemed DUFB at this store this month. This not the same as the number of EBT transactions or DUFB transactions since most DUFB customers will make more than one DUFB transaction at a store each month. Does your site have the ability to track unique DUFB customer count? If not, select "Unable to track." Sites are not penalized if they cannot track this number since our program team knows not all POS systems have the ability to track this number.

Enter the number of unique DUFB customers for this report month.

Produce purchased from vendors/distributors

Produce purchases are the dollar amount your store paid produce vendors for the reporting month. They are not the produce sales you made to customers this month.

Enter the overall amount this store paid to vendors/distributors this month to purchase fresh fruits and vegetables to stock at the store.

For example, if a store paid vendors/distributors $10,000 to purchase fresh produce this month and of that $1,500 was for Michigan-grown apples and $500 was for Michigan-grown onions, then a total of $2,000 was for Michigan-grown produce so the store would enter "2000".

SUPPORTING DOCUMENTS

You must upload the following supporting documents:


  1. SNAP sales: POS report showing $ of SNAP sales and number of SNAP transactions for the reporting month
  2. DUFB issued: POS report showing $ of DUFB issued to customers for the reporting month
  3. DUFB redeemed: POS report showing $ of DUFB redeemed by customers for the reporting month
  4. Produce Purchases: Any documentation that can verify your store purchased the amount of total produce and Michigan-grown produce your reported. Accepted documentation includes invoices from your produce vendors showing amount due/paid with Michigan-grown produce amounts clearly displayed. Accepted documentation also includes a report used by your accounting team to track to produce purchases. Please email data@fairfoodnetwork.org if you have questions about the type of documents we will accept to verify total produce purchases and Michigan produce purchases.


If you do not upload the required documentation, your reimbursement payment will be delayed until the documentation is provided.


If your store uses the DUFB card, you must still provide your POS system's report showing how much DUFB was earned and redeemed.

Drag and drop files here or

Yu may use this section to share additional comments about this month's reporting numbers This can be helpful to include if your store experienced unexpected changes in DUFB activity because of inclement weather, construction, staff changes, etc.

Did you, other store staff, or a program participant experience a positive impact of the DUFB program this month? If so, we welcome you to share a brief summary of the impact here. If possible, include a name and contact information if the person is interested in sharing their experience in more detail with our team.

Reporting Contact Info

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Phone

Ready to submit?

Please review the information you provided above and check for accuracy. When you're ready, hit "Submit" to send us your report.


You will not automatically get a copy of this report. If you want to get a copy of the report with your responses, make sure you check the box that says “Send me a copy of my response" before you submit.

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